NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx Xxxx, M.D. Michigan Physicians Group, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may be made by electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. Upon request by OIG, MPG may be required to provide OIG with an additional copy of each notification or report required by this IA in OIG’s requested format (electronic or paper).
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx Xxxx, M.D. Michigan Physicians GroupXxxxx and Bhat Medical Associates, P.C. 0000 X. 00-00 Xxxx Xxxx Xxxxxx Xxxxxx Xxxxxxx, Xxxxxxxx 00000 New York 11378 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG MBPC may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Choudhary-Rolla Neurology: Xxxxxxxx X. Xxxxxxxxx, M.D Rolla Neurology Pain and Sleep Center 000 Xxxx 0xx Xxxxxx XxxxXxxxx, M.D. Michigan Physicians Group, P.C. XX 00000-0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Choudhary-Rolla Neurology may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Monos, Ltd., 215, and Xxxxxxxx: Xx. Xxxxxx XxxxXxxxxxxx Address: 0000 Xxxxxxxxxxx Xxx, M.D. Michigan Physicians GroupXxxxxxxxx, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 EmailEmail Address: xxxxxxx000@xxxxx.xxx Xxxxxx@xxxxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may be made by electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. Upon request by OIG, MPG Monos, Ltd., 215, and Xxxxxxxx may be required to provide OIG with an additional copy of each notification or report required by this IA in OIG’s requested format (electronic or paper).
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx XxxxXxxxxxx: Xxx X. Xxxxxxx Regional Radiation Oncology 000 Xxxx Xxxxx Industrial Loop Shreveport, M.D. Michigan Physicians GroupLA 71106 (000) 000-0000 with copy to: Xxxx Xxxxxxxx, P.C. 0000 Esquire GrayRobinson, P.A. 000 X. 00 Xxxx Xxxx XxxxxxxXxxxxxx Street, Xxxxxxxx 00000 Suite 2700 Tampa, FL 33602 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Xxxxxxx may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX X.X. Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 000.000.0000 Facsimile: (000) 000-0000 MPG: 202.205.0604 Mercy Hospital Springfield, Mercy Clinic Springfield Communities and MHM Support Services: Xxxx Xxxxxx XxxxChief Compliance Officer 00000 X. Xxxxx Xxxxx, M.D. Michigan Physicians GroupXxxxx 000 Xx. Xxxxx, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 XX. 00000 Telephone: (000) 000-0000 000.000.0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx 314.628.3817 Unless otherwise specified, all notifications and reports required by this IA may CIA shall be made by electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Mercy and MHM may be required to provide OIG with an additional electronic copy of each notification or report required by this IA CIA, in OIG’s requested format (electronic or paper)addition to a paper copy.
Appears in 1 contract
Samples: Corporate Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Monos, Ltd., 215, and Xxxxxxxx: Xx. Xxxxxx XxxxXxxxxxxx Address: 0000 Xxxxxxxxxxx Xxx, M.D. Michigan Physicians GroupXxxxxxxxx, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 NV 89052 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 EmailEmail Address: xxxxxxx000@xxxxx.xxx Xxxxxx@xxxxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may be made by electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. Upon request by OIG, MPG Monos, Ltd., 215, and Xxxxxxxx may be required to provide OIG with an additional copy of each notification or report required by this IA in OIG’s requested format (electronic or paper).
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx XxxxXx. Xxxxxxxx’x Compliance Contact: Xxxxx X. Xxxxxxxx, M.D. Michigan Physicians Group0000 Xxxx Xxxxxx, P.C. 0000 X. 00 Xxxx Xxxx XxxxxxxXxxxx 0X Xxxxxxxxx, Xxxxxxxx Xxxxxxxxxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Xx. Xxxxxxxx may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx Xxxx, M.D. Michigan Physicians FHG: Xx. Xxxxx Xxxx Frederickburg Hospitalist Group, P.C. 0000 X. 00 000 Xxxxxxxx Xxxxxx Xxxx Xxxx XxxxxxxXxxxxxxxxxxxxx, Xxxxxxxx XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx xxxxxxxxxxx@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. Upon request by OIG, MPG FHG may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested format (electronic or paper)addition to a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 0000 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx XxxxXxxxx-JCA Compliance Contact: Xxxxx X. Xxxxx, M.D. Michigan Physicians Group000 Xxxx Xxxxxx Jackson, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 MI 49201 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIGXXX, MPG Xxxxx-JCA may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xx. Xxxxxxxx: Xxxxx Xxxxxxxx, D.D.S. 000 Xxxxxx Xxxx Xxxx, M.D. Michigan Physicians Group, P.C. 0000 X. 00 Xxxx Xxxx Xxxxx 000 Xxxxxxx, Xxxxxxxx XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Xx. Xxxxxxxx may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic or paperpdf), in addition to a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Provider: Xxxxxx X. Xxxx, M.D. Michigan Physicians GroupXxxxxxxx Yarra, P.C. M.D. Valley Heart Consultants, P.A. 0000 X. 00 Xxxx Xxxx XxxxxxxXxxxxxxx Xxxxx 0 XxXxxxx, Xxxxxxxx XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG the Providers may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Compliance Contact: Dr. Xxx Xxxxxx XxxxCompliance Officer 000 X Xxx 00 X Xxxxxxxxxxxx, M.D. Michigan Physicians Group, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Ho Medical may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement
NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this IA shall be submitted to the following entities: OIG: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 MPG: Xxxxxx XxxxChatterjee Compliance Contact: Xxxxxxxxxx Xxxxxxxxxx, M.D. Michigan Physicians Group0000 Xxxx 0xx Xxxxxx Suite B London, P.C. 0000 X. 00 Xxxx Xxxx Xxxxxxx, Xxxxxxxx 00000 KY 40741 Telephone: (000) -000-0000 Facsimile: (000) -000-0000 Email: xxxxxxx000@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this IA may shall be made by electronic certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, MPG Xxxxxxxxxx may be required to provide OIG with an additional electronic copy of each notification or report required by this IA in OIG’s requested searchable portable document format (electronic pdf), either instead of or paper)in addition to, a paper copy.
Appears in 1 contract
Samples: Integrity Agreement