Office of the Medicaid Inspector General
Medicaid Exclusions
Medicaid Exclusions Short List



Exclusions Short List


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You searched for: Short List
List Execution Date: 7/26/2024 11:13:01 PM.
Records returned: .
Data was last updated: 7/26/2024 12:01:09 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
BIELER JESSIE E00306598LPN07/21/2024Verify
BOURBEAU THOMAS00324055RN07/21/2024Verify
DORSEY RAHSAHNDirect Support Professional06/27/2024Verify
FLUG HARRIS MICHAEL000346231922164029Clinical Social Worker07/18/2024Verify
HINES BENJAMINHabilitation Instructor06/27/2024Verify
HOLT ALPHONSOReceptionist06/27/2024Verify
IRVINE LINDSAY APRIL007013391972052827Registered Nurse06/27/2024Verify
JEROME MAXCleaning Compliance Coordinator06/27/2024Verify
JOHN BERTDirect Support Professional06/27/2024Verify
JOSEPH ANTHONYMaintenance Worker06/27/2024Verify
LIU JIANon Medical07/21/2024Verify
MCNAMARA PATRICK WAYNE00488410Registered Professional Nurse07/18/2024Verify
MIZRACHY MICHAEL S1588742274Pediatrician07/18/2024Verify
Olukayode IyanuOther07/18/2024Verify
PADUCH DARIUS ADAM002273861265529333Urologists 07/21/2024Verify
PLAZA ISMAELSecurity Hospital Treatment Assistant06/27/2024Verify
RYAN JAMES MICHAEL000537981356508493Dentist07/18/2024Verify
SYED ABIDClinical Laboratory Operator07/21/2024Verify
TATUM DAVID ARTHUR002799511326339243Physician07/21/2024Verify
WEATHERS DAVIDBusiness Owner07/21/2024Verify

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