Medicare Beneficiary Private Contract Sample Contracts

MEDICARE BENEFICIARY PRIVATE CONTRACT
Medicare Beneficiary Private Contract • February 23rd, 2012

This Medicare Beneficiary Private Contract (“Agreement”) is by and between Simone L. Norris , M.D., 18720 Stone Oak Parkway, Suite 201, San Antonio, Texas, 78258 (“Physician”) and the following Patient, who is a Medicare beneficiary:

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MEDICARE BENEFICIARY PRIVATE CONTRACT
Medicare Beneficiary Private Contract • March 12th, 2021

This agreement is entered into by and between Todd S. Cox, MD, (hereinafter called "Physician"), whose principal medical office is located at 1020 19th Street,

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