KEVIN TYRONE CUSTIS HHS-OIG excluded
Excluded under 1128a1 · Conviction of program-related crime (mandatory) · effective 2023-10-19
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
- 39482
- NPI
- 1811976970
- General field
- PHYSICIAN (MD, DO)
- Specialty
- FAMILY PRACTICE
- Exclusion type
- 1128a1
- Exclusion date
- 2023-10-19
- Last known location
- BELLE MEAD, NJ, 08502
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