ILEM PRISCILLA G
Debarred entityBorn 14 Jun 1927 (99 years old),United States. Named in 6 sanctions listings.
Summary
UPIN: A64547
Sanctions and listings6
- Effective
- 20 Nov 2013
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
- 3 Dec 2013
- Effective
- 20 Nov 2013
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).
- Effective
- 28 Dec 2012
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Listed
- 3 Apr 2014
- Effective
- 27 Dec 2013
- Effective
- 16 Apr 2008
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 27 Oct 2013
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Positions held1
Period not retained
PSYCHIATRY (PHYSICIAN (MD, DO))
Identifiers3
| Identifier | Number |
|---|---|
| ID number | MA02352500 (NJ) |
| ID number | 00105467 |
| NPI number | 1699860684 |
Other names2
Also known as2
Addresses5
782 ALPS ROAD, WAYNE, NJ 7470
782 ALPS ROAD, WAYNE, NJ 07470
(NJ), (NJ)
WAYNE, NJ 07470
NJ, NJ
United States
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