Kristen Anne Theobald-hazel, DO - Medicare Pediatrics in Osage Beach, MO

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Kristen Anne Theobald-hazel, DO is a medicare enrolled "Pediatrics" physician in Osage Beach, Missouri. Her current practice location is 1057 Medical Park Dr, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 302-3100.

Kristen Anne Theobald-hazel is licensed to practice in Missouri (license number 2009001633) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932201837.

Contact Information

Kristen Anne Theobald-hazel, DO
1057 Medical Park Dr,
Osage Beach, MO 65065-3000
(573) 302-3100
(573) 348-8279

Map and Direction




Physician's Profile

Full NameKristen Anne Theobald-hazel
GenderFemale
SpecialityPediatrics
Location1057 Medical Park Dr, Osage Beach, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932201837
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 09/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567514656
  • Enrollment ID: I20090721000539

Medical Identifiers

Medical identifiers for Kristen Anne Theobald-hazel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932201837NPI-NPPES
1447229489MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2009001633 (Missouri)Primary

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. Kristen Anne Theobald-hazel allows following entities to bill medicare on her behalf.
Entity NameLake Regional Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147
Entity NameRichland Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891931978
PECOS PAC ID: 2062554025
Enrollment ID: O20100525000793

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. Kristen Anne Theobald-hazel 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 AddressPractice Location Address
Kristen Anne Theobald-hazel, DO
54 Hospital Dr,
Osage Beach, MO 65065-3050

Ph: (573) 302-3100		Kristen Anne Theobald-hazel, DO
1057 Medical Park Dr,
Osage Beach, MO 65065-3000

Ph: (573) 302-3100

Reviews and Comments


Pediatrics Doctors in Osage Beach, MO

Dr. Trent K Russell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065
Phone: 573-348-2745    Fax: 573-348-8279
Dr. Maria E. Bernabe, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 931 Highway D, Osage Beach, MO 65065
Phone: 573-392-5606    
Dr. Whitney L. Cline, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3870 Columbia Ave, Osage Beach, MO 65065
Phone: 573-302-7490    
Dr. Geetha G. Herath, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 54 Hospital Dr, Osage Beach, MO 65065
Phone: 573-348-8000    Fax: 573-348-8069

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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