DAWN BURTCHELL FISHBACK

Debarred entity

Born 21 Dec 1972 (53 years old),United States. Named in 3 sanctions listings.

Sanctions and listings3

Effective
18 Feb 2016
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov
Listed
20 Jul 2016
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).
sam.gov
Effective
20 Jul 2016
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a2
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov

Positions held1

Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)

Identifiers2

Identifier	Number
ID number	00502649
NPI number	1790987600

Other names1

Also known as1

FISHBACK DAWN BURTCHELL RN

Addresses2

GENEVA, NY 14456
25 HILLSIDE DRIVE, GENEVA, NY 14456

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