PETER SHELBY BOGARD HHS-OIG excluded

Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 2020-04-20

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
30122
NPI
1659374528
UPIN
F67383
General field
PHYSICIAN (MD, DO)
Specialty
PAIN MANAGEMENT
Exclusion type
1128b4
Exclusion date
2020-04-20
Last known location
GRANTS PASS, OR, 97527

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