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Excluded Providers

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 61 - 75Page 5 of 9

2/5/1998 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
45 Days
People:
Carl Robert Showalter, MD
Addresses:
1031 So. Main St., Harrisburg, Virginia 22801
Summary:
One (1) count of Mail Fraud.

1/9/1998 - 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
People:
Carl Ray Hale, LPC
Addresses:
4478 Kendall Circle, Gulfport, Mississippi 39507
Summary:
Pleaded guilty to one (1) count of a Ten Count Criminal Information charging him with False Claims to the U.S. Government. Effective date of exclusion is January 24, 1998.

1/9/1998 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
3 Years
People:
Robert C. Brown, Jr., MD
Addresses:
4519 Brentwood Avenue, Jacksonville, Florida 32206
Summary:
Robert C. Brown Jr., M.D. agreed not to reapply to be an Authorized Provider for a period of three (3) wears. He agreed to pay the sum of $300,000.

1/9/1998 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
3 Years
People:
Harold E Mcneely, PhD
Addresses:
4763 N. 53rd Street, Phoenix, Arizona 85018
Summary:
Submit fraudulent claims for services rendered to TRICARE/CHAMPUS beneficiaries

1/5/1998 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
2 Years
People:
Ernesto Malave, MD
Addresses:
905 N. Key Avenue, Lampasas, Texas 76550
Summary:
Civil Fraud

10/21/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
2 Years
People:
Gail Powers, ASW
Addresses:
2235 N. Madelyn Ave., Tucson, Arizona 85712
Summary:
Identified as Submitting False Claims. Effective date of exclusion is November 5, 1997.

10/21/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
4 Years
People:
Glenn Alan Kawesch, MD
Addresses:
1221 Parker Place, #18, San Diego, California 92109
Summary:
Dr. Kawesch under False Claims

10/10/1997 - 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:
St. Francis Family Care
People:
Kent Macdonald
Addresses:
P.O. Box 2348, Rancho, California 95741-2348
Summary:
One (1) count of Conspiracy.

9/4/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
15 Years
People:
Daniel James Herlihy, DO
Addresses:
P.O. Box 9300-5, #27975-077, Texarkana, Texas 75505-9300
Summary:
Convicted of a crime related to the Delivery of Health Care of Financial Misconduct Involving a Government-operated Program.

7/16/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
Indefinite
People:
Richard Yentis, MD
Addresses:
1501 Merrimac Circle, Suite 210, Fort Worth, Texas 76107
Summary:
Convicted of crimes against CHAMPUS.

7/6/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
6 Years
People:
Benjamin Carpio Malabanan, MD
Addresses:
P.O. Box 9300, #27966-077, Texarkana, Texas 75505
Summary:
Convicted of a crime related to the Delivery of Health Care of Financial Misconduct Involving Government-operated Program.

7/3/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
15 Years
People:
Wallace James Pickett, III, MD
Addresses:
706 W. Lake Mary Blvd., Fci#18237-018, Eglin Air Force Base, Lake Mary, Florida 32542
Summary:
Found guilty of submitting approximately $40,000 in false Medicare and CHAMPUS claims from 1988-1991.

6/30/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
3 Years
People:
Krantinath Raikhelkar, MD
Addresses:
2929 N. Central, #2100, Phoenix, Arizona 85012
1204127 Trimbak, #5, Shivajinasar Pune 4, India
Summary:
Convicted of a crime related to the delivery of health care or financial misconduct involving a Government-operated program.

6/25/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
10 Years
People:
Richard R. Honablue, Jr., MD
Addresses:
110 Cary Street, Williamsburg, Virginia 23185
Summary:
Identified as Submitting False Claims. Effective date of exclusion is July 10, 1997.

6/11/1997 - Click to close Excluded A provider or entity that cannot receive payment from the government for services rendered to a beneficiary. Excluded

Term:
10 Years
People:
Aaron Kastner, MD
Addresses:
16511 Loch Maree Lane, Dallas, Texas 75248
Summary:
Two (2) or more persons made an agreement to commit the crimes of Mail Fraud and Making a False Statement, Defraud Insurance Carriers of Money by Submitting Insurance Claims that contained False and Fraudulent Patient Diagnoses.
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Showing results 61 - 75Page 5 of 9
Last Updated: October 20, 2023
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