Mark Samaan
Debarred entityBorn 19 Oct 1983 (42 years old),United States. Named in 5 sanctions listings.
Sanctions and listings5
- Effective
- 20 Oct 2023
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Suspended
- Effective
- 20 Aug 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 5 Nov 2024
- Effective
- 30 Sep 2024
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
- Effective
- 14 Mar 2022
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
License revoked by WV BOM
- Effective
- 20 Oct 2023; 8 Sep 2022
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Terminated Suspended
Positions held1
Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1154550622 |
Other names1
Also known as1
Addresses4
Troy, MI
HAMILTON, OH 45011
146 Williams Drive, Spencer, WV 25276
4987 GLEN SPRINGS DRIVE, HAMILTON, OH 45011
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