Subject Numbers Regarding Health Provider Authorizations

Authorization No. 201018-9W

May 9, 2013

Please be advised that John Tallett, M.D., has resigned his authorization to treat injured workers in the New York State workers' compensation system effective August 14, 2012. Dr. Tallett's last known business address is 268 West Main Street, Fredonia, New York, 14063.

Dr. Tallett is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Tallett for services rendered prior to August 14, 2012, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Tallett for services rendered prior to August 14, 2012, should not be denied due to his voluntary resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.