PHYLLIS DECARNELLE HANNAH (M.D.) – Internal Medicine Physician, NPI 1740259407

PHYLLIS DECARNELLE HANNAH (M.D.) is a healthcare provider. based in Idabel, Oklahoma. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MO - 10627 (MO). The NPI Number for PHYLLIS DECARNELLE HANNAH (M.D.) is 1740259407

Main info

Female
Name
PHYLLIS DECARNELLE HANNAH (M.D.)
NPI
1740259407
Phone
(580) 286-2600
Address
902 E LINCOLN RD
Enumeration Date
15 March 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PHYLLIS DECARNELLE HANNAH (M.D.)

  • 902, East Lincoln Road, Idabel, McCurtain County, Oklahoma, 74745, United States

    IDABEL, OK 747457337

    Phone: (580) 286-2600

    Fax: (580) 286-1087

    Type: Mailing

  • Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74821, United States

    ADA, OK 748203439

    Phone: (580) 436-3980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74745)

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Reviews

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Frequently asked questions

Is there an official ID for PHYLLIS DECARNELLE HANNAH (M.D.) in U.S. healthcare records?
The official identifier for PHYLLIS DECARNELLE HANNAH (M.D.) is NPI 1740259407.
Would PHYLLIS DECARNELLE HANNAH (M.D.) appear as active to a payer?
You can treat PHYLLIS DECARNELLE HANNAH (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PHYLLIS DECARNELLE HANNAH (M.D.)?
PHYLLIS DECARNELLE HANNAH (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PHYLLIS DECARNELLE HANNAH (M.D.)?
Travel planning: use Idabel, Oklahoma as the reference point for PHYLLIS DECARNELLE HANNAH (M.D.), then confirm.
When was this NPI issued?
Enumeration for PHYLLIS DECARNELLE HANNAH (M.D.) is noted as March 15, 2006 where the registry provides it.

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