DERRON MCRAE SIMON HHS-OIG excluded
Excluded under 1128a4 · Felony conviction relating to controlled substance (mandatory) · effective 2015-08-20
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
- 89387
- NPI
- 1164482980
- UPIN
- H56797
- General field
- PHYSICIAN (MD, DO)
- Specialty
- FAMILY PRACTICE
- Exclusion type
- 1128a4
- Exclusion date
- 2015-08-20
- Last known location
- FORT DIX, NJ, 08640
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