1011810016852 Provider Enrollment Maintenance Documen_? Provider Enrollment General Correspondence 0 1 1 4 Provider ID: 2 -n_r I 1011810016852 PROVIDER FILE MAINTENANCE REQUEST FORM Reqmsma: (MCM Provider Enroihntut) Contact VWII 412-3437 Provider Number (5) ATN Provider Name Area Off 4122110 255161600 Femando Villamill Please process as indicated below: (Activation of the provider number is authorized only if indicated below). Stack A-term Stack A-term per MPI letter (memorandum) signed 4l20I10 Effective Date: 4120110 1011810016852 4. lTfl.H8fiH flE CHARLIE CRIST . THOMAS W. ARNOLD GOVERNOR Better Hearth Care for all Floridians SECRETARY A DATE: April 20, 2010 T0: Roberta K. Bradford Deputy Secretary for Medicaid FROM: D. Kenneth Yon, Bureau Chief Ofiice of Inspector General Medicaid Program Integrity SUBJECT: Fernando Mendez-Villamil Provider 2551616-00 MP1 File #67418 License Number The Office of Inspector General, Bureau of Medicaid Pro Integrity recommends that Medicaid consider an A-Termination 0 this provider. Provider Prov License Enrollment 8 Paid 3' Paid Number Type Status cv as car or Fernando Me.ndea- 1393 swzz-' 25 2551616-00 mm] Sm Sm MD islfirwlm $31,135.40 $27,766.33 The basis for this recommendation is it is in the best interest of the Medicaid program. At this time, the Medicaid Fraud Control Unit (MFCU) has indicated it is no longer newssary to refiain fiom Termination of the provider from the Medicaid program. The Agency's investigation of this provider has created areas of concern. Contributing to these concerns are the volume of patients being seen and the medications being prescribed. Additionally, it is recommended this provider be terminated in'First Health Services Corporation. We recognize that there may be clinical considerations that the Bureau of Pharmacy Services must evaluate. If you or your stafi have any questions regarding this recommendation, please contact Gordon, McCleary, Program Administrator, at 921-1802. Additionally, because this provider is under active investigation and/or this memo contains confidential information, its contents should not be disclosed beyond necessary Agency employees. Specifically, it should not be disclosed that MFCU has an active investigation. cc: Medicaid Program Integrity Chief (T ermination recommendation) . t' AHOA onltne at 2727 Marian Drive. M83 6 Florida 32308 I 1011810016852 Fanandez Manda-Villamil Prov. 2551616-00 Memo to Medicaid Director Page 2 of 2 Please retmn a copy to Medicaid Program integrity upon completion: us mom Disapproved date El 1011810016852 RCIUIH HAR THOMAS w. ARNOLD Better Health Care fur aflFlorfn'Ians SECRETARY e3- (Name and Title), representing the medical offices of Fernando Mendez-Villamil, M.D., hereby acknowledge receipt of a letter dated April 21, 2010, 'hand-delivered by Adolfo L. Garcia and Carlos Rodriguez fiom the Florida Medicaid Office. Signature: fl Date: - 1 9 Time: 1: 5 Pm' 2727 Mahan Drive, 8 Tallahassee. Florida 32308 Vlelt AHCA onllne at