JEFFERY FLOYD ADDISON
Debarred entityBorn 11 Dec 1954 (71 years old),United States. Named in 4 sanctions listings.
Sanctions and listings4
- Listed
- 23 Oct 2020
- Effective
- 20 Oct 2020
- Effective
- 20 Oct 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
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 4 Sep 2019
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
License voluntarily surrendered to WV BOM
- Listed
- 8 Dec 2020
- Effective
- 30 Nov 2020
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.
Positions held1
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1972548618 |
Other names1
Also known as1
Addresses3
1000 LIBERTY AVENUE, STE 1315, PITTSBURGH, PA 15222
331 Laidley Street, 307, Charleston, WV 25301
PITTSBURGH, PA 15222
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