Person

Samuel William Wyld

Debarred entity

Born 5 Jul 1983 (43 years old),United States. Named in 5 sanctions listings.

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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

    medicaid.dhss.delaware.gov

  • 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.

    sam.gov

  • Effective
    20 Apr 2023

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    27 Jul 2021; 20 Nov 2023

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

Positions held2

  1. Period not retained

    PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)

  2. Period not retained

    PA-C

Identifiers3

IdentifierNumber
ID numberMA059106
ID number00023375
NPI number1558882779

Other names2

Also known as2

Samuel W. WyldWYLD SAMUEL WILLIAM

Addresses3

  • BINGHAMTON, NY 13905

  • (NY), (NY)

  • 1139 AIRPORT ROAD, BINGHAMTON, NY 13905

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