Samuel William Wyld
Debarred entityBorn 5 Jul 1983 (43 years old),United States. Named in 5 sanctions listings.
Summary
License number: MA059106
Sanctions and listings5
- Effective
- 20 Nov 2023
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
- Effective
- 20 Nov 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Listed
- 22 Jan 2024
- Effective
- 31 Dec 2023
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
- 20 Apr 2023
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 27 Jul 2021; 20 Nov 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Positions held2
Period not retained
PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)
Period not retained
PA-C
Identifiers3
| Identifier | Number |
|---|---|
| ID number | MA059106 |
| ID number | 00023375 |
| NPI number | 1558882779 |
Other names2
Also known as2
Addresses3
BINGHAMTON, NY 13905
(NY), (NY)
1139 AIRPORT ROAD, BINGHAMTON, NY 13905
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