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Form 5768 AR: What You Should Know

FIND YOUR LOCAL REPUBLICAN/REP ORGANIZATION ON LINE (LINKS LOCATED ABOVE)! Contact Information: Email: Konrad.walshgmail.com Phone: ​ You are not required to file these forms with the State. The State provides you with more information on Form 5768, Election/Revocation of Election. You can also contact the State Commission for more information. For more information on the State Commission's website, click here. For more information on the Commissioner of State, click here. ATTENTION MEDICINE TO VOLUNTEER It is very important that you educate and register with your physician to receive tax-free reimbursement for your services. The federal Medicare Program, administered by the Centers for Medicare & Medicaid Services, provides low-income Americans living in Georgia the opportunity to receive free or reduced cost health care from Medicare Part B. You may have a qualified physician and patient in the state. If you are a physician who is receiving Medicare reimbursement for work performed in your hospital, clinic, or medical office, and you are not registered with the state Medicaid program or your Medicare provider is not registered with the state Medicaid program, then your Medicare providers are liable for payment of your bill and must file a claim with your Medicare Provider.

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