From: lisa
To: Lesley Groff -MINIII >
Cc: Admin Assistant < I >
Subject: Medicare ABN
Date: Wed, 03 Oct 2018 20:51:01 +0000
Attachments: 10-3-18_MEDICARE_ABN_Form.pdf
Dear Lesley,
Please see attached Medicare ABN form for Mr. Epstein to complete, sign and return to us. This is for Medicare
coverage of lab work.
Thank you. Have a nice day!
Sincerely,
Lisa Perez
Clinical Coordinator to
Dr. Woodson Merrell
44 East 67th Street, Suite 1B
New York NY 10065
EFTA00482763