| Dr Brian A Hazen, MD | |
|
3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | |
| (703) 776-1110 | |
| (703) 776-2917 |
| Full Name | Dr Brian A Hazen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 3300 Gallows Rd, Falls Church, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164458121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2018-03045 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 0101053721 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2401 |
| Outer Banks Professional Services, Llc | 3173652096 | 160 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian A Hazen, MD 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 Ph: (703) 776-1110 | Dr Brian A Hazen, MD 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 Ph: (703) 776-1110 |
Rumaisa Hameed, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3582 | |
Dr. Temitayo Akinsode Ogundipe, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 | |
Dr. Somashekar N Rao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Road, Falls Church, VA 22042 Phone: 703-776-2052 | |
Mrs. Swapna Adi Reddy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-822-3008 | |
Dr. Brigid C Gray, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Department Of Medicine, Falls Church, VA 22042 Phone: 703-776-3582 | |
Tejasri Chandrabhatla, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 | |
Dr. Alita Mishra, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042 Phone: 703-776-1110 Fax: 703-776-2917 |