ALEXANDER VLADIMIROVICH OTELLIN

Debarred entity

Born 7 Apr 1967 (59 years old),United States. Named in 4 sanctions listings.

Sanctions and listings4

Listed
15 Sep 2025
Effective
31 Jul 2025
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
Effective
19 Jun 2025
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.gov oig.hhs.gov
Effective
28 Feb 2022
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
License surrendered to WV BOM
wvmmis.com
Effective
19 Jun 2025
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov

Positions held1

Period not retained
PSYCHIATRY (PHYSICIAN (MD, DO))

Identifiers1

Identifier	Number
NPI number	1740302066

Other names2

Also known as2

OTELLIN ALEXANDER VLADIMIROVICHAlexander Otellin

Addresses3

P O BOX 1000, OTISVILLE, NY 10963
OTISVILLE, NY 10963
401 Division Street, Suite 307, South Charleston, WV 25309

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