| Dr Heather Stephanie Hazel, MD | |
|
900 I St, La Porte, IN 46350-5533 | |
| (219) 324-1700 | |
| Not Available |
| Full Name | Dr Heather Stephanie Hazel |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 900 I St, La Porte, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912968504 | NPI | - | NPPES |
| 200529530B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01060598A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Porter Home Health | Valparaiso, IN | Home health agency |
| Elara Caring | South bend, IN | Home health agency |
| Dunes Hospice Llc | Valparaiso, IN | Hospice |
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Physician Services Llc | 1850482407 | 88 |
| Chesterton Physical Therapy Inc | 3173683984 | 123 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather Stephanie Hazel, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1840 | Dr Heather Stephanie Hazel, MD 900 I St, La Porte, IN 46350-5533 Ph: (219) 324-1700 |
James A Serwatka, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Teagarden, Community Health Center, La Porte, IN 46350 Phone: 219-326-0043 Fax: 219-326-8909 | |
Jennifer Ann Alderink, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Dr. Freeman L. Farrow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 574-324-1602 | |
John E Rogers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Legacy Plz W, La Porte, IN 46350 Phone: 219-575-6240 Fax: 219-369-4233 | |
Caroline E Bjonback, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Legacy Plz W, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951 | |
Dr. Deborah Michelle Pavey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602 | |
Dr. Victor H Benavides Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 I St Fl 2, La Porte, IN 46350 Phone: 219-324-1938 Fax: 219-324-1602 |