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… 42317-Accounting-of-Disclosures.pdf … Patient Name: Date of Birth: Medical Record Number: (Please Print) REQUEST FOR AN ACCOUNTING OF DISCLOSURES REQUEST FOR AN ACCOUNTING OF DISCLOSURES Gundersen Lutheran Medical Center, Inc. | Gundersen Clinic, Ltd. | Gundersen Boscobel Area Hospitals & Clinics | Gundersen St. Joseph’s Hospital & Clinics | Gundersen Tri-County Hospital …
… by the Program Program Information Program Information Name of Program: Gundersen Medical Foundation Sports Physical Therapy Residency Physical Address: 3111 … if applicable. Format for Educational Hours: In-person Affiliated Practice Site Locations: All within close proximity to program's main address Mentor Appointment … if applicable. Format for Educational Hours: In-person Affiliated Practice Site Locations: All within close proximity to program's main address Mentor Appointment …
… premium contributions stated herein. Fellow Compensation Package Salary F1 $72,100 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth's Hospital of Wabasha, Inc. (hereinafter referred …
… the plan documents shall be governed by the applicable plan documents. Gundersen Medical Foundation may find it necessary to add, modify or change any or all … premium contributions stated herein. Fellow Compensation Package Salary F1 $78,280 Medical insurance Gundersen Medical Foundation pays the full cost of your medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth's Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Resident Compensation Package Salary R1 $51,500 Medical insurance Medical insurance Gundersen Medical Foundation pays the full cost of your medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Fellowship Compensation Package Salary F1 $51,500 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Fellowship Compensation Package Salary F1 $51,500 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… premium contributions stated herein. Fellow Compensation Package Salary F1 $72,100 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth's Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Resident Compensation Package Salary R1 $51,500 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Resident Compensation Package Salary R1 $51,500 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… herein. Fellow Compensation Package Cash Compensation F1 (18-month stipend) $98,108 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… herein. Fellow Compensation Package Cash Compensation F1 (18-month stipend) $98,108 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… contributions stated herein. Resident Compensation Package Salary R1 $51,500 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… herein. Fellow Compensation Package Cash Compensation F1 (18-month stipend) $98,108 Medical insurance Gundersen Medical Foundation pays the full cost of your medical premium. Choosing a medical … Health Services Inc., Palmer Lutheran Health Center, Moundview Memorial Hospital & Clinics, Inc., and Saint Elizabeth’s Hospital of Wabasha, Inc. (hereinafter referred …
… and the payer. • A case manager evaluates available options with the employee and medical provider and assists in coordinating optimal, quality care in a … including more than 1,000 clinicians, in 11 hospitals and more than 100 clinic locations in Wisconsin, Minnesota, Upper Michigan and Iowa. With community partners, … including more than 1,000 clinicians, in 11 hospitals and more than 100 clinic locations in Wisconsin, Minnesota, Upper Michigan and Iowa. With community partners, …
… Insurance Co Name and Address: Policy Number: SERVICE LOCATION ☐ Gundersen Lutheran Medical Center/Clinics ☐ Gundersen St. Joseph’s Hospital and Clinics ☐ Gundersen Boscobel Area … ☐ No – Please explain why: I have applied for or will apply for federal or state medical assistance ☐ Yes ☐ No – Not a citizen ☐ No – Over income ☐ No – Other …