npidexNPI registry + Medicare data

AGEENA HASS

General Practice Physician · SALLISAW, OK

Individual Active Opted out of Medicare NPI 1801537642

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Physician208D00000X✓8065OK

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Family Practice), effective 2023-12-02 through 2027-12-02.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.