MARK EDWIN WISNER HHS-OIG excluded

Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 2016-05-19

What this means

This provider is excluded from participation in all US federal healthcare programs (Medicare, Medicaid, TRICARE, etc.). Federal healthcare programs may not pay for any items or services furnished, ordered, or prescribed by this excluded individual.

Key facts

OIG internal ID
101581
NPI
1598771586
General field
IND- LIC HC SERV PRO
Specialty
PHYSICIAN ASSISTANT
Exclusion type
1128b4
Exclusion date
2016-05-19
Last known location
HORTON, KS, 66439

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