EFTA00482763

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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

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