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Search for providers who have been excluded by TRICARE.
NOTE
The following TRICARE provider exclusion database contains those providers that have been excluded by TRICARE only. Please note that HHS (Medicare) does not have to follow TRICARE exclusions; however, TRICARE follows all exclusions by HHS.
For information regarding providers excluded by HHS, please refer to the HHS-IG exclusions database. All providers on the HHS exclusion list are also excluded by TRICARE.
https://exclusions.oig.hhs.gov/
Search Sanctioned Providers
Fraud Sanctions Search Results (129)
Showing results 31 - 45Page 3 of 9
9/21/2004 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
Click to close
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 -
Click to close
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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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.
Showing results 31 - 45Page 3 of 9
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Last Updated: October 20, 2023