ANDRE LAMAR WALLACE

Debarred entity

Born 26 Aug 1977 (49 years old),United States. Named in 4 sanctions listings.

Sanctions and listings4

Effective
20 Mar 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and MA excluded indefinite
medicaid.dhss.delaware.gov
Effective
20 Mar 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
20 Mar 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
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Listed
25 May 2023
Effective
28 Apr 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

Positions held1

Period not retained
THERAPIST (IND- LIC HC SERV PRO)

Identifiers2

Identifier	Number
ID number	MSG007581
NPI number	1578178844

Other names1

Also known as1

Andre L. Wallace

Addresses3

CHESTER, PA 19013
Delaware, PA
2701 MADISON STREET, APT G268, CHESTER, PA 19013

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