On October 03, 2018 a
Motion-Secondary
was filed
involving a dispute between
Raul Santillan,
and
Mana M. Waiba,
The New World Service Inc.,
for Torts - Motor Vehicle
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 09/02/2019 02:27 PM INDEX NO. 519867/2018
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 09/02/2019
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
_______________________________....----------------------------- -X
RAUL SANTELAN,
RESPONSE TO
Plaintiff, DEMAND FOR
MEDICAID/MEDICARE
- against - INFORMATION
THE NEW WORLD SERVICE INC. and Index No. 519867/18
MANA M. WAIBA,
Defendants.
______________-___..------------________________-------_____-- X
Plaintiff, by his attorneys, the LAW OFFICE OF RONALD W. RAMIREZ,
Defendants'
responding to Demand for Medicaid/Medicare Information dated 11/16/18, hereby
alleges, upon information and belief, as follows:
Plaintiff is a Medicare beneficiary. Plaintiff is not a Medicaid beneficiary. Annexed
hereto is Plaintiff's authorization to obtain his claim and payment records from Medicare relating
only to treatment for the injuries sustained in the subject accident. At the present time, Plaintiff is
unaware of any Medicare lien.
Dated: Forest Hills, New York
September 3 , 2019
Yours, etc.,
Ronald W. R irez
LAW OFFICE OF RONALD W. RAMIREZ
Attorneys for Plaintiff
71"
107-19 Avenue
Forest Hills, New York 11375
(718) 261-6161
FileNo. 180012
TO: BAKER, MCEVOY, MORRISSEY &
MOSKOVITS, P.C.
Attorneys for Defendants
8*
1 Metrotech Center, Floor
Brooklyn, NY 11201
Case lD:97406
File No. 1027151
1 of 2
FILED: KINGS COUNTY CLERK 09/02/2019 02:27 PM INDEX NO. 519867/2018
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 09/02/2019
Index No. 519867/18
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
RAUL SANTILLAN,
Plair.tiff,
- against -
THE NEW WORLD SERVICE INC. and MANA M. WAIBA,
Defendants.
RESPONSE TO DEMAND FOR MEDICAID/MEDICARE INFORMATION
LAW OFFICE OF RONALD W. RAMIREZ
Attorneys for Plaintiff
107-19 71st Avenue
Forest Hills, New York 11375
Tel. No.: (718) 261-6161
Fax No.: (718) 268-3045
RR @ RWRAMIREZ.COM
CERTIFICATION:
To the best ofthe undersigned's knowledge, infor-:±= and belief,formed after an inquiry
reasonable under the the within and contentions c- -d
circumstances, decsñênt(s)
therein are not frivolous as defined in 22 NYCRR §l30-1.1-a.
Dated: Forest Hills, New York
September 3, 2019
RONA W. M1REZ
2 of 2
Document Filed Date
September 02, 2019
Case Filing Date
October 03, 2018
Category
Torts - Motor Vehicle
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Preview
FILED: KINGS COUNTY CLERK 09/02/2019 02:27 PM INDEX NO. 519867/2018 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 09/02/2019 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF KINGS _______________________________....----------------------------- -X RAUL SANTELAN, RESPONSE TO Plaintiff, DEMAND FOR MEDICAID/MEDICARE - against - INFORMATION THE NEW WORLD SERVICE INC. and Index No. 519867/18 MANA M. WAIBA, Defendants. ______________-___..------------________________-------_____-- X Plaintiff, by his attorneys, the LAW OFFICE OF RONALD W. RAMIREZ, Defendants' responding to Demand for Medicaid/Medicare Information dated 11/16/18, hereby alleges, upon information and belief, as follows: Plaintiff is a Medicare beneficiary. Plaintiff is not a Medicaid beneficiary. Annexed hereto is Plaintiff's authorization to obtain his claim and payment records from Medicare relating only to treatment for the injuries sustained in the subject accident. At the present time, Plaintiff is unaware of any Medicare lien. Dated: Forest Hills, New York September 3 , 2019 Yours, etc., Ronald W. R irez LAW OFFICE OF RONALD W. RAMIREZ Attorneys for Plaintiff 71" 107-19 Avenue Forest Hills, New York 11375 (718) 261-6161 FileNo. 180012 TO: BAKER, MCEVOY, MORRISSEY & MOSKOVITS, P.C. Attorneys for Defendants 8* 1 Metrotech Center, Floor Brooklyn, NY 11201 Case lD:97406 File No. 1027151 1 of 2 FILED: KINGS COUNTY CLERK 09/02/2019 02:27 PM INDEX NO. 519867/2018 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 09/02/2019 Index No. 519867/18 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF KINGS RAUL SANTILLAN, Plair.tiff, - against - THE NEW WORLD SERVICE INC. and MANA M. WAIBA, Defendants. RESPONSE TO DEMAND FOR MEDICAID/MEDICARE INFORMATION LAW OFFICE OF RONALD W. RAMIREZ Attorneys for Plaintiff 107-19 71st Avenue Forest Hills, New York 11375 Tel. No.: (718) 261-6161 Fax No.: (718) 268-3045 RR @ RWRAMIREZ.COM CERTIFICATION: To the best ofthe undersigned's knowledge, infor-:±= and belief,formed after an inquiry reasonable under the the within and contentions c- -d circumstances, decsñênt(s) therein are not frivolous as defined in 22 NYCRR §l30-1.1-a. Dated: Forest Hills, New York September 3, 2019 RONA W. M1REZ 2 of 2