Phyllis Decarnelle Hannah, MD - Medicare Internal Medicine in Ada, OK

Phyllis Decarnelle Hannah, MD is a medicare enrolled "Internal Medicine" physician in Ada, Oklahoma. Her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Phyllis Decarnelle Hannah is licensed to practice in Missouri (license number MO - 10627) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740259407.

Contact Information

Phyllis Decarnelle Hannah, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
Not Available

Map and Direction




Physician's Profile

Full NamePhyllis Decarnelle Hannah
GenderFemale
SpecialityInternal Medicine
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740259407
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830162775
  • Enrollment ID: I20040818000433

Medical Identifiers

Medical identifiers for Phyllis Decarnelle Hannah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740259407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MO - 10627 (Missouri)Primary

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. Phyllis Decarnelle Hannah allows following entities to bill medicare on her behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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. Phyllis Decarnelle Hannah 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
Phyllis Decarnelle Hannah, MD
902 E Lincoln Rd,
Idabel, OK 74745-7337

Ph: (580) 286-2600
Phyllis Decarnelle Hannah, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980

Reviews and Comments


Internal Medicine Doctors in Ada, OK

Gary L Paddack, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820
Phone: 580-436-2262    Fax: 580-272-0186
Dr. Shirley J Welden, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    
Dr. Shrina Parekh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-301-6465    
Elizabeth Omojasola Omoniyi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820
Phone: 580-453-3545    Fax: 580-453-3546
Steven Louis Fillmore, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    
Dr. Quyen Thanh Ha, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 430 N Monte Vista St, Valley View Reg Hospital Wound Care Center, Ada, OK 74820
Phone: 580-272-1731    Fax: 580-272-1720
Jerry S Morgan, M D L L C
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-272-2708

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.