| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Deron Kovac · Deron T Kovac · Deron T. Kovac | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Deron | [sources] | |||
| ID Number | DS027813L · DS027913L · PROMISe#: 001283976 | [sources] | |||
| Last name | Kovac | [sources] | |||
| Middle name | T · T. | [sources] | |||
| NPI | 1720141104 | [sources] | |||
| Title | DMD | [sources] | |||
| Address | Beaver, PA · Chester, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-a7b63945d48eb10044eecf190e3363f135e4d532 · us-medpa-964818065af76c86d00d1ce0da73ce4576c73b40 · us-medpa-f7ee02996dadb5423e9f9c893cd527f81c7b1c5d · us-medde-c741de85b5dc72087a39c19fc72a9e43fa2ee11bFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Chester, PA | United States | |
| Beaver, PA | United States | |
| United States | Department of Human Services | - | - |
| United States | Department of Human Services | - | - |
| United States | Department of Human Services | - | - |