Nex Systems
Person

Walter F Wrenn

Debarred entity

Born 9 Aug 1940 (86 years old),United States. Named in 4 sanctions listings.

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Summary

License number: MD016666E

Sanctions and listings4

  • Effective
    19 Jan 2023

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

  • Effective
    19 Jan 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

    1128a1

    Programme US-HHS-OIGoig.hhs.govoig.hhs.gov

  • Effective
    14 Apr 2021

    Official designation

    PA Dept of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    Federal and PA indefinite suspension

    medicaid.dhss.delaware.gov

  • Effective
    14 Apr 2021; 20 Oct 2021; 19 Jan 2023

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

Positions held2

  1. Period not retained

    III

  2. Period not retained

    INTERNAL MEDICINE (PHYSICIAN (MD, DO))

Identifiers2

IdentifierNumber
ID numberMD016666E
NPI number1114023009

Other names3

Also known as3

WRENN, WALTER F IIIWalter F Wrenn IIIWALTER FRANKLIN III WRENN

Addresses6

  • Out of State, Out of State

  • 6 PLAYERS LANE, PINE HILL, NJ 8021

  • (NJ), (NJ)

  • 6 PLAYERS LANE, PINE HILL, NJ 08021

  • Philadelphia, PA

  • NJ, NJ

    United States

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