Dr Jack Hannallah, MD, MBA, MPH - Medicare Diagnostic Radiology in Tucson, AZ

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Dr Jack Hannallah, MD, MBA, MPH is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Tucson, Arizona. He went to University Of Arizona College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Banner -- University Medical Group and his current practice location is 1501 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 626-7402.

Dr Jack Hannallah is licensed to practice in Arizona (license number 51583) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497018915.

Contact Information

Dr Jack Hannallah, MD, MBA, MPH
1501 N Campbell Ave,
Tucson, AZ 85724
(520) 626-7402
Not Available

Map and Direction




Physician's Profile

Full NameDr Jack Hannallah
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location1501 N Campbell Ave, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Hannallah attended and graduated from University Of Arizona College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1497018915
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274898481
  • Enrollment ID: I20181025001409

Medical Identifiers

Medical identifiers for Dr Jack Hannallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497018915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 51583 (Arizona)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 51583 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center Tucson CampusTucson, AZHospital
Banner-university Medical Center South CampusTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner -- University Medical Group7719899871819

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. Dr Jack Hannallah allows following entities to bill medicare on his behalf.
Entity NameBanner -- University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameModern Vascular Of Mesa, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427583087
PECOS PAC ID: 0446537948
Enrollment ID: O20170511000409
Entity NameModern Vascular Of Sun City Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083179378
PECOS PAC ID: 1951644905
Enrollment ID: O20190515001928
Entity NameModern Vascular Of Tucson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255896544
PECOS PAC ID: 5496081721
Enrollment ID: O20190820001568

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. Dr Jack Hannallah 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 AddressPractice Location Address
Dr Jack Hannallah, MD, MBA, MPH
Po Box 245067,
Tucson, AZ 85724-5067

Ph: () -		Dr Jack Hannallah, MD, MBA, MPH
1501 N Campbell Ave,
Tucson, AZ 85724

Ph: (520) 626-7402

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.