Dana Gayle Hanebutt, NP is a medicare enrolled "Nurse Practitioner" physician in Shawnee, Oklahoma. She went to University Of South Alabama College Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Citizen Potawatomi Nation, Citizen Potawatomi Nation and her current practice location is
2508 N Harrison St, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 585-2030.
Dana Gayle Hanebutt is licensed to practice in Oklahoma (license number 80049) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336612662.
Physician's Profile
| Full Name | Dana Gayle Hanebutt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 2508 N Harrison St, Shawnee, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dana Gayle Hanebutt attended and graduated from University Of South Alabama College Of Medicine in 2018
NPI Data:
- NPI Number: 1336612662
- Provider Enumeration Date: 01/09/2019
- Last Update Date: 02/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769722420
- Enrollment ID: I20190318000695
Medical Identifiers
Medical identifiers for Dana Gayle Hanebutt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336612662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 80049 (Oklahoma) | Secondary |
| 363L00000X | Nurse Practitioner | 80049 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Citizen Potawatomi Nation | 3375511488 | 35 |
| Citizen Potawatomi Nation | 3375511488 | 35 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dana Gayle Hanebutt allows following entities to bill medicare on her behalf.
| Entity Name | Crossroads Medical Management Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780011874
PECOS PAC ID: 4183856784
Enrollment ID: O20140414001788 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dana Gayle Hanebutt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dana Gayle Hanebutt, NP
Po Box 269031,
Oklahoma City, OK 73126-9031
Ph: (405) 585-2030 | Dana Gayle Hanebutt, NP
2508 N Harrison St,
Shawnee, OK 74804-3131
Ph: (405) 585-2030 |
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