Individual ProviderHadele BannaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8404 Preston Rd Ste 208, Plano, TX 75024-3332(440) 413-4813(216) 778-5394PECOS EnrollmentBased on the most recent information from CMS, provider Hadele Banna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538487343Provider TypeIndividualFull NameBanna, HadeleCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/4/2010Last Updated3/29/2019Contact InformationPractice LocationPractice Address8404 Preston Rd Ste 208, Plano, TX 75024-3332Phone(440) 413-4813Fax(888) 435-5331Mailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-5394FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseQ1086TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID449510DescriptionOtherIssuerMEDICARETexas