BONNIE KING BERGMAN — OIG Excluded Provider (PORT SAINT LUCIE, FL, 1128a3)
BONNIE KING BERGMAN — OIG Excluded Provider (PORT SAINT LUCIE, FL, 1128a3) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BONNIE KING BERGMAN; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | BONNIE KING BERGMAN |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE/NURSES AIDE |
| City | PORT SAINT LUCIE |
| State | FL |
| ZIP | 34952 |
| Exclusion authority | 1128a3 |
| Exclusion reason | Felony conviction relating to health care fraud |
| Exclusion date | 2011-09-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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