FREDERICK SCOTT DATTEL
Debarred entityBorn 26 Sep 1965 (61 years old),United States. Named in 5 sanctions listings.
Summary
KMAP Provider Number 100281970A,B,C,D,E
License number: MO 100376
Sanctions and listings5
- Effective
- 4 Jan 2023
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
FELONY GUILTY PLEA
- Effective
- 7 Feb 2023
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Loss of license or other State action.
- Effective
- 20 Aug 2024
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 Aug 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
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 5 Nov 2024
- Effective
- 30 Sep 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.
Positions held1
Period not retained
GENERAL PRACTICE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00285404 |
| NPI number | 1912008525 |
Other names3
Also known as3
Addresses2
11600 BROOKWOOD AVENUE, LEAWOOD, KS 66211
LEAWOOD, KS 66211
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