Brian Justin Hansen
Debarred entityBorn 28 Feb 1973 (53 years old),United States. Named in 4 sanctions listings.
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).
- 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)
- 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.
Positions held1
Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1255345492 |
Addresses2
744 12TH AVENUE, NE, HAMPTON, IA 50441
HAMPTON, IA 50441
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