Martin Escobar

Debarred entity

Born 31 May 1963 (63 years old),United States. Named in 6 sanctions listings.

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Summary

License number: PROMISe: 102616112

Provider ID: 2244860

Sanctions and listings6

Effective
9 Feb 2023
Official designation
Ohio Department of MedicaidUS Ohio Medicaid Excluded and Suspended ProvidersUnited StatesExcluded
medicaid.ohio.gov
Effective
18 May 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.gov oig.hhs.gov
Listed
31 Jul 2023
Effective
30 Jun 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
18 May 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
15 Jul 2022
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Excluded
OIG
wvmmis.com
Effective
18 May 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov

Positions held1

Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))

Identifiers2

Identifier	Number
ID number	35.079291 (OH)
NPI number	1730166117

Addresses4

(OH), (OH)
122 12th Street, Princeton, WV 24740
BRADFORD, PA 16701
P O BOX 8000, #67199-060, BRADFORD, PA 16701

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