Kimberly R Hazen, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Round Rock, Texas. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mark Malone Md Pa and her current practice location is
2000 S Mays St Ste 201, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 244-4272.
Kimberly R Hazen is licensed to practice in Texas (license number 106814) 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 1194149062.
Healthcare Provider's Profile
| Full Name | Kimberly R Hazen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 2000 S Mays St Ste 201, Round Rock, Texas |
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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:
- Kimberly R Hazen graduated from medical school in 2009
NPI Data:
- NPI Number: 1194149062
- Provider Enumeration Date: 02/12/2014
- Last Update Date: 10/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688060866
- Enrollment ID: I20230906003059
Medical Identifiers
Medical identifiers for Kimberly R Hazen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194149062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | CW017885 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW017885 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106814 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mark Malone Md Pa | 2567369424 | 85 |
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. Kimberly R Hazen allows following entities to bill medicare on her behalf.
| Entity Name | Mark Malone Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407057250
PECOS PAC ID: 2567369424
Enrollment ID: O20031217001064 |
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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. Kimberly R Hazen 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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Kimberly R Hazen, MSW, LCSW
101 W Louis Henna Blvd Ste 300,
Austin, TX 78728-1203
Ph: (512) 244-4272 | Kimberly R Hazen, MSW, LCSW
2000 S Mays St Ste 201,
Round Rock, TX 78664-7580
Ph: (512) 244-4272 |
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