Mr Michael B Hazeltine, MA, LPC in Tyler, TX - Medicare Counselor Provider

Mr Michael B Hazeltine, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Tyler, Texas. His current practice location is 218 N College Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 593-9141.

Mr Michael B Hazeltine is licensed to practice in Texas (license number 79720) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215413091.

Contact Information

	Mr Michael B Hazeltine, MA, LPC
	218 N College Ave, Tyler, TX 75702-5715
	(903) 593-9141
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael B Hazeltine
Gender	Male
Speciality	Counselor - Professional
Location	218 N College Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215413091
Provider Enumeration Date: 07/16/2018
Last Update Date: 12/08/2020

Medicare PECOS Information:

PECOS PAC ID: 7911355243
Enrollment ID: I20231128001505

Medical Identifiers

Medical identifiers for Mr Michael B Hazeltine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215413091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	79720 (Texas)	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. Mr Michael B Hazeltine allows following entities to bill medicare on his behalf.

Entity Name	Second Story Counseling Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013460716 PECOS PAC ID: 6204292063 Enrollment ID: O20230520000165

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. Mr Michael B Hazeltine 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
Mr Michael B Hazeltine, MA, LPC 218 N College Ave, Tyler, TX 75702-5715 Ph: (903) 593-9141	Mr Michael B Hazeltine, MA, LPC 218 N College Ave, Tyler, TX 75702-5715 Ph: (903) 593-9141

Reviews and Comments

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Mr Michael B Hazeltine, MA, LPC - Medicare Counselor in Tyler, TX