MARY ELLEN JOHNSON HHS-OIG excluded

Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 1994-08-10

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
59353
UPIN
C59589
General field
MEDICAL PRACTICE, MD
Specialty
INTERNAL MEDICINE
Exclusion type
1128b4
Exclusion date
1994-08-10
Last known location
WATERFORD, CT, 06320

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