Morgana Hazell, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lebanon, Missouri. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is
120 Hospital Dr, Suite 100, Lebanon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 820-3128.
Morgana Hazell is licensed to practice in Missouri (license number 2014001357) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063784411.
Healthcare Provider's Profile
| Full Name | Morgana Hazell |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 120 Hospital Dr, Lebanon, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Morgana Hazell graduated from medical school in 2013
NPI Data:
- NPI Number: 1063784411
- Provider Enumeration Date: 02/01/2012
- Last Update Date: 02/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 3476879495
- Enrollment ID: I20150526000073
Medical Identifiers
Medical identifiers for Morgana Hazell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063784411 | NPI | - | NPPES |
| 1063784411 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 2011039220 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2014001357 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Clinic Springfield Communities | 7416865845 | 922 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Morgana Hazell allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Morgana Hazell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Morgana Hazell, PSYD
Po Box 505164,
Saint Louis, MO 63150-5164
Ph: (417) 829-4620 | Morgana Hazell, PSYD
120 Hospital Dr, Suite 100,
Lebanon, MO 65536-9238
Ph: (417) 820-3128 |
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