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Military Health System

Sanctioned Providers

Search for providers who have a sanction originated at TRICARE.

Note

The following provider sanction database contains information that relates only to providers whose sanction originated at TRICARE.

For information regarding providers listed on DHHS's sanction list, please refer to the HHS-IG Sanction Report on the Related Links page of this site. All providers listed on DHHS's sanction list are also sanctioned by TRICARE.

Search Sanctioned Providers

 

Fraud Sanctions Search Results (129)

Showing results 31 - 45Page 3 of 9

9/21/2004 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
Indefinite
Companies:
Gulf Coast Treatment Center
Addresses:
1015 Mar Walt Drive, Fort Walton Beach, Florida 32547
Summary:
Also D/B/A Gulf Coast Youth Services [EIN: 56-1341134] Non-compliance with TRICARE Standards for Residential Treatment Facilities. These substandard conditions are detrimental to patient health and safety.

12/8/2003 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
Indefinite
Companies:
Piney Ridge Treatment
Addresses:
1000 Hospital Road, Waynesville, Missouri 65583
Summary:
Failure to comply with TRICARE standards for Residential Treatment Center.

6/19/2003 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
3 Years
People:
Robert J. Herbst
Addresses:
3116 West U.S. Route 22, Mainesville, Ohio 45039
Summary:
Submitting fraudulent billing to Health Care Insurance Companies.

5/16/2003 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
People:
Herman Eric Wetsman, DO
Addresses:
7229 Country Club Dr., La Jolla, California 92037
Summary:
Submitting claims for services not medically necessary and upcoding

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
WSL Medical Clinic
People:
Willie S. Lee, MD
Addresses:
800 Malabanias Road, Angeles City, Philippines
Summary:
Identified as submitting fraudulent claims.

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
D & R Diagnostic Specialist Clinic
People:
Jose L. Lopez, MD
Addresses:
871 Henson Street, Angeles City, Philippines
Summary:
Identified as submitting fraudulent claims.

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
Family Medical & Planning
People:
Carmelino M. Nunag, MD
Addresses:
871 Henson Street, Angeles City, Philippines
Summary:
Identified as submitting fraudulent claims.

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
DM Ayson Medical Clinic
People:
Donna Mae Ayson, MD
Addresses:
4122 Carlota De Leon Street, Santa Teresita, Angeles City, Philippines
Summary:
Identified as submitting fraudulent claims

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
San Lorenzo Medical Clinic
People:
Sesnando S. Sandalo, MD
Addresses:
557 Rizal Street, Angeles City, Philippines
Summary:
Identified as submitting fraudulent claims.

2/26/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
Plariedel Medical Clinic
People:
Willie S. Lee, MD
Addresses:
800 Malabanias Road, Angeles City, Philippines
Summary:
The provider was identified as submitting fraudulent claims.

2/22/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
St. Thomas Aquinas Medical Center
People:
Amrafel Alfonso, MD
Addresses:
2194 A. Del Rosario Street, Angeles City, Philippines
Summary:
Involvement in Healthcare fraud scheme.

1/15/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
Indefinite
People:
Herbert A. Daniels, MD
Addresses:
8919 Parallel Pkwy. , #555, Kansas City, Kansas 66112
Summary:
33 counts of Health Care Fraud, 7 counts of Mail Fraud, and 3 Counts of Perjury.

1/9/2002 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
5 Years
Companies:
CDMF Medical Clinic
People:
Diogenes A. Dionisio
Addresses:
344 Maysilo Circle Cor. Boni Avenue, Mandaluyong City, Philippines
Summary:
The provider was identified as submitting fraudulent claims.

12/19/2001 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
2 Years
People:
Reynold Rimoldi, MD
Addresses:
600 S. Rancho Dr. , Ste. 113, Las Vegas, Nevada 89106
Summary:
Quality of Care Concern.

6/25/2001 - Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
2 Years
People:
Francis D'Ambrosio
Addresses:
3330 Wilshire Blvd., Los Angeles, California 90010
Summary:
Medical necessity and appropriateness of spinal surgeries.
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Showing results 31 - 45Page 3 of 9
Last Updated: October 26, 2021
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