Laura Ann Hannum, APRN is a medicare enrolled "Nurse Practitioner - Family" in De Witt, Arkansas. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mid-delta Health Systems Inc and her current practice location is
1940 S Whitehead Dr, De Witt, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 946-4505.
Laura Ann Hannum is licensed to practice in Arkansas (license number 125421) 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 1265102859.
Provider's Profile
| Full Name | Laura Ann Hannum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1940 S Whitehead Dr, De Witt, Arkansas |
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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. |
Medical Education and Training:
- Laura Ann Hannum graduated from nursing school in 2020
NPI Data:
- NPI Number: 1265102859
- Provider Enumeration Date: 09/15/2021
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567851405
- Enrollment ID: I20211115000701
Medical Identifiers
Medical identifiers for Laura Ann Hannum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265102859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 125421 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mid-delta Health Systems Inc | 3870574668 | 11 |
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. Laura Ann Hannum allows following entities to bill medicare on her behalf.
| Entity Name | Mid-delta Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
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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. Laura Ann Hannum 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 |
Laura Ann Hannum, APRN 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-8011 | Laura Ann Hannum, APRN 1940 S Whitehead Dr, De Witt, AR 72042-2906 Ph: (870) 946-4505 |
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