Michelle Renee Hazuka, MS is a medicare enrolled "Counselor - Professional" provider in Iola, Wisconsin. Her current practice location is
E498 Norske Rd, Iola, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 677-4035.
Michelle Renee Hazuka is licensed to practice in Wisconsin (license number 6279-125) 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 1902102759.
Healthcare Provider's Profile
| Full Name | Michelle Renee Hazuka |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | E498 Norske Rd, Iola, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902102759
- Provider Enumeration Date: 01/26/2011
- Last Update Date: 02/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193245694
- Enrollment ID: I20250401002578
Medical Identifiers
Medical identifiers for Michelle Renee Hazuka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902102759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 6279-125 (Wisconsin) | 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. Michelle Renee Hazuka allows following entities to bill medicare on her behalf.
| Entity Name | Central Wisconsin Mental Health Associates, Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174279533
PECOS PAC ID: 7012437510
Enrollment ID: O20250227002474 |
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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. Michelle Renee Hazuka 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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Michelle Renee Hazuka, MS
E498 Norske Rd,
Iola, WI 54945-9298
Ph: (715) 212-6209 | Michelle Renee Hazuka, MS
E498 Norske Rd,
Iola, WI 54945-9298
Ph: (715) 677-4035 |
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