Person

PAUL JOHN HANNAN SR

Debarred entity

Born 20 Jun 1965 (61 years old),United States. Named in 6 sanctions listings.

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Summary

License number: CSR No. DR-0008693

UPIN: H64470

Sanctions and listings6

  • Effective
    28 Mar 2018

    Official designation

    Delaware Secretary of StateUS Delaware Medicaid Sanctioned ProvidersUnited States

    207L00000X- terminated or Disclosure not recvd 2080N0001X-is Managed Care “Reporting Only” is active.

    medicaid.dhss.delaware.gov

  • Effective
    15 Jan 2021

    Official designation

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

    DISQUALIFICATION

    nj.gov

  • Listed
    22 Dec 2020
    Effective
    20 Dec 2020

    Reciprocal

    HHSUS SAM Procurement ExclusionsUnited StatesActive

    Prohibition/Restriction

    sam.gov

  • Effective
    2 Jun 2020

    Official designation

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

    omig.ny.gov

  • Effective
    20 Dec 2020

    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

  • Listed
    1 Mar 2021
    Effective
    27 Jan 2021

    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

Positions held1

  1. Period not retained

    PAIN MANAGEMENT (PHYSICIAN (MD, DO))

Identifiers2

IdentifierNumber
ID number00250782
NPI number1639166572

Other names4

Also known as4

HANNAN PAUL JOHNHANNAN, SR., PAULPAUL JOHN SR HANNANPaul J. Hannan

Addresses3

  • 6619 WALLASTON COURT, BROOKLYN, NY 11204

  • BROOKLYN, NY 11204

  • 6619 WALLASTON CT, BROOKLYN, NY 11204

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