ELLIEN, WILLIAM
Debarred entityBorn 19 Jun 1955 (71 years old),United States. Named in 7 sanctions listings.
Sanctions and listings7
- Effective
- 7 Jun 2016
Official designation
Georgia Department of Community HealthUS Georgia Healthcare provider exclusionsUnited States
- Listed
- 21 Jun 2016
- Effective
- 20 Jun 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).
- Effective
- 20 Jun 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
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 5 Oct 2015
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
- Effective
- 17 Jul 2013
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Listed
- 12 Sep 2016
- Effective
- 27 Jul 2016
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by U.S. Office of Personnel Management from participation as a health care provider in the Federal Employees Health Benefits Program (FEHBP), under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J. Debarred or suspended 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 health benefits plan described by 5 U.S.C. 8903 or section 8903a. **** If both DHHS and OPM have a record for the same individual, please contact the Agency with the earlier Active date for verification.
- Effective
- 20 Nov 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Positions held1
Period not retained
PSYCHOLOGY (IND- LIC HC SERV PRO)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD038057E |
| NPI number | 1437196375 |
Other names3
Also known as3
Addresses5
Savannah, GA 31404
(GA), (GA)
1401 TRAFFORD LANE, SAVANNAH, GA 31410
SAVANNAH, GA 31410
39 CABBAGE XING, SAVANNAH, GA 31411
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