CLIFFORD ROBERT JACOBSON
Debarred entityBorn 5 Jan 1950 (76 years old),United States. Named in 6 sanctions listings.
Summary
UPIN: C58291
(also Clifford R. Jacobson)
(also CLIFFORD ROBERT JACOBSON)
Sanctions and listings6
- Effective
- 19 Sep 2002
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 27 Jul 2012
- Effective
- 19 Sep 2002
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services from participation in all Federal health care programs pursuant to 42 U.S.C. § 1320a-7 or other sections of the Social Security Act, as amended and codified in Chapter 7 of Title 42 of the United States Code (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. § 1001.1901).
- Listed
- 27 Jul 2012
- Effective
- 29 Nov 2002
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Ineligible (Proceedings Completed)
- Effective
- 4 Sep 2002
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 Aug 2018
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 27 Aug 2018
- Effective
- 20 Aug 2018
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
Positions held2
Period not retained
PSYCHIATRY (MEDICAL PRACTICE, MD)
Period not retained
PSYCHIATRY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00135796 |
| NPI number | 1316152424 |
Other names3
Also known as3
Addresses4
5261 W LAKE RD, GENESEO, NY 14454
ROCHESTER, NY 14606
Geneseo, NY 14454
72 DREXEL DRIVE, ROCHESTER, NY 14606
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