WALDO ELLISON HHS-OIG excluded

Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 2015-04-20

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
44080
NPI
1558315341
UPIN
D59905
General field
PHYSICIAN (MD, DO)
Specialty
PSYCHIATRY
Exclusion type
1128b4
Exclusion date
2015-04-20
Last known location
VIRGINIA BEACH, VA, 23452

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