EVERS MARTIN LOUIS
Debarred entityBorn 17 Dec 1957 (68 years old),United States. Named in 7 sanctions listings.
Summary
License number: PROMISe# 001189983, 102220169
License number: MD042947E(PA)
Sanctions and listings7
- Effective
- 10 Sep 2019
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Provider Agreement Terminated-Reporting Only-Active in DMES
- Listed
- 6 Aug 2024
- Effective
- 28 Jun 2024
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.
- Effective
- 20 May 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 20 May 2024
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.govoig.hhs.gov
- Effective
- 20 May 2024
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 25 Dec 2019
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 May 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Positions held2
Period not retained
MD
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers4
| Identifier | Number |
|---|---|
| ID number | MD042947E |
| ID number | 00181457 |
| NPI number | 1487694345 |
| NPI number | 1366434110 |
Other names4
Also known as4
Addresses4
FCI DANBURY, ROUTE 37, DANBURY, CT 06811
ROUTE 37, DANBURY, CT 6811
DANBURY, CT 06811
(CT), (CT)
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