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DR. PHILLIP WAYNE HALCUM M.D.
NPI 1013972884
Military Health Care Provider in Poteau, OK

Active since April 17, 2006PECOS Enrolled
109 KERR AVE, POTEAU, OK 74953(918) 649-1100(918) 649-1199 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip Wayne Halcum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP WAYNE HALCUM M.D. (NPI 1013972884) is an individual military health care provider provider in Poteau, Oklahoma, licensed in Arkansas (C-7091) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013972884
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. PHILLIP WAYNE HALCUMCredential: M.D.
Location Address109 KERR AVEPoteau, OK 74953-5270
Mailing Address8625 Cove CirHackett, AR 72937-4161 · (501) 690-0298 · Fax (918) 649-1199
Phone(918) 649-1100
Fax(918) 649-1199
Sole ProprietorYes
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 29, 2011
✔ NPI 1013972884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Licenses✔ Licensed in AR · C-7091✔ Licensed in NM · 91-62
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
109 KERR AVE, Poteau, OK 74953
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Wayne Halcum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY PAUL JORDAN PHARM D
Pharmacist
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1100
JESSICA LANE GRAY
Case Manager/Care Coordinator
109 KERR AVE
POTEAU, OK 74953
Le Flore County (539) 316-4616
MISS STEFANIE JANINE TERRELL PHARM D
Pharmacist
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1136
KELSEA JOHNSON
Case Manager/Care Coordinator
109 KERR AVE
POTEAU, OK 74953
Le Flore County (580) 579-4571
FRANK JAY SMITH PA-C
Physician Assistant (Medical)
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1100
CRYSTAL D HENSLEY RN, CDE
Registered Nurse (Diabetes Educator)
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1100
HAYLEIGH GRACELYNN DONOLEY OTR/L
Occupational Therapist
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1100
DR. MEGAN SCHMIDT PHARM. D
Pharmacist
109 KERR AVE
POTEAU, OK 74953
Le Flore County (918) 649-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Halcum's NPI number?

The NPI number for Phillip Halcum is 1013972884. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Phillip Halcum located?

Phillip Halcum practices at 109 Kerr Ave, Poteau, OK 74953. The listed phone number is (918) 649-1100.

What is Phillip Halcum's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Phillip Halcum enrolled in Medicare?

Yes. Phillip Halcum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Halcum was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.