Person

Brian Justin Hansen

Debarred entity

Born 28 Feb 1973 (53 years old),United States. Named in 4 sanctions listings.

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Summary

State license type / number: DO / 3580

UPIN: I10103

Sanctions and listings4

  • Listed
    19 Jun 2014

    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).

    sam.gov

  • Effective
    28 Sep 2012

    Official designation

    Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States

    Sanction end as published: Indefinite

    Participation Suspension

    441 IAC 79.2(2)(n)

    hhs.iowa.gov

  • Effective
    19 Jun 2014

    List of Excluded Individuals/Entities (LEIE)

    Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States

    1128a2

    Programme US-HHS-OIGoig.hhs.govoig.hhs.gov

  • Listed
    13 Jan 2015
    Effective
    25 Jul 2014

    Reciprocal

    OPMUS SAM Procurement ExclusionsUnited StatesActive

    Prohibition/Restriction

    Debarred or Suspended by U.S. Office of Personnel Management (OPM) 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 the provider has been excluded by both OPM and the Department of Health and Human Services (DHHS), please contact the agency with the earlier Active date for verification.

    sam.gov

Positions held1

  1. Period not retained

    FAMILY PRACTICE (PHYSICIAN (MD, DO))

Identifiers1

IdentifierNumber
NPI number1255345492

Addresses2

  • 744 12TH AVENUE, NE, HAMPTON, IA 50441

  • HAMPTON, IA 50441

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