Maryville, TN – A pharmacist from Fentress County, Tennessee, has been charged with multiple counts of health care fraud and aggravated identity theft. Philip Hall, 48, is accused of submitting fraudulent claims to Medicare, Medicaid, TRICARE, and Blue Cross Blue Shield for prescriptions that were either medically unnecessary, not dispensed, or not ordered by healthcare providers.
According to the U.S. Attorney’s Office for the Middle District of Tennessee, Hall was the owner and operator of Hall Family Pharmacy, Inc., which had locations in both Jamestown and Clarkrange. Hall was also the pharmacist-in-charge at the Jamestown location and one of the pharmacists at the Clarkrange site. Between 2018 and at least May 2024, Hall allegedly submitted false claims to health care benefit programs, totaling more than $6 million.
The indictment revealed that in many cases, Hall’s pharmacies lacked the inventory to even dispense the medications listed in the fraudulent claims. Hall is also accused of using other individuals’ identities without authorization to collect reimbursements from these health care programs, further profiting from the scheme.
In total, Hall faces nine counts of health care fraud and six counts of aggravated identity theft. If convicted, he could face up to ten years in federal prison for each fraud count and an additional two years for each identity theft count.
“We will always seek to protect taxpayer dollars from those who would take them fraudulently and illegally,” said Acting United States Attorney Thomas J. Jaworski. “Seniors in our community need to know that Medicare will be protected from fraud and abuse.”
In addition to the charges, the U.S. government is seeking $6,524,585.44 in restitution, which represents the proceeds of Hall’s alleged fraud scheme.
