From: Bella Klein

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