Hannah Haack, MD
Individual provider Active NPI Family Medicine Physician · Smith Center, KS
NPI 1649567397 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1649567397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-36014 (KS)
- Practice address
- 921 E Highway 36
Smith Center, KS 66967-9582 - Phone
- (785) 282-6834
- Fax
- (785) 282-3793
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Plains of Smith Co Inc
Practice addresses (Care Compare)
921 E Hwy 36
Smith Center, KS 66967-9582
Phone (785) 282-6834
Hospital & facility affiliations
- Angels Care Home Health of Dodge City
- Smith County Memorial Hospital
- Phillips County Hospital
- Osborne County Memorial Hospital
- Hays Medical Center
- Sunporch of Smith County
- Smith County Memorial Hospital
- Smith Center Health and Rehab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Sunporch of Smith County |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 2017 Oct 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140521000630 | KS | Practitioner - Family Practice | 5496904484 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36014 | KS | MD | Family Medicine Physician |
| 7760 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains of Smith Co., Inc. | Family Medicine | Current |
Accepting new patients |
| Great Plains of Smith Co., Inc. | Current |
Accepting new patients | |
| Great Plains of Smith Co., Inc | Past | Accepting new patients | |
| Great Plains of Smith Co Inc | Past | Accepting new patients | |
| Sunporch of Smith Center Inc | Past |
Accepting new patients |
Locations
921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834
119 E Parliament St
Smith Center, KS 66967
Phone (785) 282-6834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7760 | KS | |
| Family Medicine Physician | 207Q00000X | 04-36014 | KS | Yes |
Addresses
Primary practice location
921 E Highway 36
Smith Center, KS 66967-9582
Mailing address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
Other practice location 1
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
Other practice location 2
119 E Parliament St
Smith Center, KS 66967-3015
Phone (785) 282-6834
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201094960B | Medicaid | KS |
Other providers in Smith Center, KS
- Great Plains of Smith County Inc
- Great Plains of Smith County, Inc
- Great Plains of Smith County, Inc
- Great Plains of Smith County, Inc
- David Grey
- Laura Hageman
- Jessica Hommon
- Infinia at Smith Center
- Kevin L Kriley
- Kloster Chiropractic
All providers in Smith Center, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.