BENTLEY, KERI McFARLANE
Debarred entityUnited States. Named in 7 sanctions listings.
Summary
KMAP Provider Number 201373680A
License number: 2020022475
Sanctions and listings7
- Effective
- 26 Feb 2025
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 19 Jun 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 11 Aug 2023
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Medicare Revocation.
- Effective
- 11 Aug 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 2 May 2024
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
CMS REVOCATION
- Effective
- 11 Aug 2023
- Ended
- 11 Aug 2033
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 5 Dec 2024; 30 Jul 2024; 12 Jun 2024; 24 Mar 2023
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Suspended Suspended Summary Suspension Revoked
Positions held1
Period not retained
MD
Identifiers3
| Identifier | Number |
|---|---|
| ID number | 00305230 |
| ID number | MD471869 |
| NPI number | 1588688998 |
Other names6
Also known as6
Addresses3
Out of State, Out of State
Knoxville, TN, MI
10616 EAGLES VIEW DRIVE, KNOXVILLE, TN 37922
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