| Dr Gale A Hazen, MD | |
|
5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 | |
| (440) 930-6015 | |
| (440) 930-6094 |
| Full Name | Dr Gale A Hazen |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 53 Years |
| Location | 5319 Hoag Dr, Sheffield Village, Ohio |
| 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 |
|---|---|---|---|
| 1265480370 | NPI | - | NPPES |
| 0821543 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35042917H (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 126 |
| Entity Name | Mercy Health Physicians Lorain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gale A Hazen, MD 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 Ph: (440) 930-6015 | Dr Gale A Hazen, MD 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 Ph: (440) 930-6015 |
Dr. Domingo Gonzalez, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 | |
Dr. Mario M Sertich, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 | |
Dr. Bo Hyun Yoo, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5319 Hoag Dr Ste 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 |