From: Lesley Groff <1
To: Rich Kahn >, Bella Klein
Subject: Fwd: Medicare ABN
Date: Thu, 04 Oct 2018 12:06:48 +0000
Attachments: 10-3-18_MEDICARE_ABN_Form.pdf
Please see below form...Jeffrey has asked me to sign it...but do y'all know which option I should check off?
This is for Medicare coverage of lab work...If you don't know which option I should check off, I will ask
Jeffrey...just thought I would start with you two.
Begin forwarded message:
From: Ilse <I
Subject: Medicare ABN
Date: October 3, 2018 at 4:51:01 PM EDT
To: Lesley Groff <
Cc: Admin Assistant <
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 18
New York, NY 10065
EFTA00482770