Mr Kenneth M Hazlewood, LMFT is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Montague, California. His current practice location is
251 N 6th St, Montague, California. You can reach out to his office (for appointments etc.) via phone at
(818) 384-7103.
Mr Kenneth M Hazlewood is licensed to practice in * (Not Available) (license number ) 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 1164555306.
Healthcare Provider's Profile
| Full Name | Mr Kenneth M Hazlewood |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 251 N 6th St, Montague, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164555306
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 09/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628579422
- Enrollment ID: I20250902004059
Medical Identifiers
Medical identifiers for Mr Kenneth M Hazlewood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164555306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 83241 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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 Kenneth M Hazlewood 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 Kenneth M Hazlewood, LMFT Po Box 351, Montague, CA 96064 Ph: (818) 384-7103 | Mr Kenneth M Hazlewood, LMFT 251 N 6th St, Montague, CA 96064-8025 Ph: (818) 384-7103 |
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