Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | GERALD RICHARD JR KEENAN · Gerald R. Keenan Jr. | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Gerald | [sources] | |||
ID Number | MA000424L/ OA000021L | [sources] | |||
Last name | Keenan | [sources] | |||
Middle name | R. · RICHARD JR | [sources] | |||
NPI | 1336295971 | [sources] | |||
Title | P.A.-C. | [sources] | |||
Position | PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO) | [sources] | |||
Address | (ME), (ME) · 807 CUSHING ROAD, #168584, WARREN, ME 04864 | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-fed-excl-gerald-richard-jr-keenan-04864-warren
· us-medpa-1a758b96934800662959ca43c4a924a2538a2d25
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
(ME), (ME) | United States of America |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |