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Rancie Wayne Hannah

Family Medicine

Allopathic & Osteopathic Physicians

1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087

PECOS Enrollment

This provider is enrolled in PECOS as RANCIE HANNAH.

Based on the most recent information from CMS, provider Rancie Wayne Hannah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1275530008
Provider Type
Individual
Full Name
Hannah, Rancie Wayne
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/7/2005
Last Updated
10/17/2012

Contact Information

Practice Location

1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087

(606) 836-3196

(606) 836-2564

Mailing Location

1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087

(606) 836-3196

(606) 836-2564

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 36544 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 000000199568	Description Other	Issuer BLUE CROSS BLUE SHIELD
ID 64044704	Description Medicaid	Issuer Unlisted Kentucky
ID 2204836	Description Medicaid	Issuer Unlisted Ohio

Rancie Wayne Hannah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Fields, Larry S.

Family Medicine Center, Pllc

Murphy, Kristen Nicole

Ashalnd Hospital Corporation

Abbe M. Cassity Do Psc

Walz Family Medicine, P.S.C

Aim Wellness Llc

Bellefonte Physician Services, Inc.

Walz, Jon H.

Kazee, Jackie R