EFTA00482133.pdf

From: To: "Dr. Darius Paduch" < Subject: Re: Medicare Waiver - Dr. Paduch Date: Tue, 25 Sep 2018 15:43:12 +0000 Attachments: Scan_449.pdf; Scan_448.pdf On Sep 25, 2018, at 11:01 AM, Crismely Ovalle G > wrote: Good morning M, I hope all is well. Attached is a Medicare waiver we need to have on file in Mr. Epstein's chart annually. This is just acknowledgement that Dr. Paduch does not participate with Medicare insurance. Please have Mr. Epstein fill out the second page, where he enters his name, mailing address and Medicare ID#. Please have him initial the rest of the page. On the second page, please have him initial, date and sign. Please send back to me when done. Also, should I contact you tomorrow regarding the credit card information? Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East 68th Street, Starr 924A New York, New York 10065 Ti FM <Untitled.PDF - Adobe Acrobat Pro.pdf EFTA00482133