EFTA00482772.pdf
dataset_9 pdf 56.6 KB • Feb 3, 2026 • 2 pages
From: Bella Klein
To: Lesley Groff <MI >
Cc: Richard Kahn
Subject: Re: Medicare ABN
Date: Thu, 04 Oct 2018 14:05:03 +0000
Attachments: 10-3-18_MEDICARE_ABN_Fonn.pdf
I would suggest option 1,10 bill medicare and if not covered responsible for payment...
Thank you,
Bella
Tel:
On Oct 4, 2018, at 8:06 AM, Lesley Groff ..11 > wrote:
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: lisa <
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
EFTA00482772
Dr. Woodson Merrell
44 East 67th Street, Suite 1B
New York, NY 10065
EFTA00482773
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