| Hazel Lynnette Brooks, MD | |
| 
					301 Professional Park Dr, Glasgow, KY 42141-3487  | |
| (270) 651-9696 | |
| (270) 651-0385 | 
| Full Name | Hazel Lynnette Brooks | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 301 Professional Park Dr, Glasgow, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255314498 | NPI | - | NPPES | 
| 64043474 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35803 (Kentucky) | Primary | 
| Entity Name | Cumberland Family Medical Center, Inc.. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hazel Lynnette Brooks, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472  | Hazel Lynnette Brooks, MD 301 Professional Park Dr, Glasgow, KY 42141-3487 Ph: (270) 651-9696  | 
Jennifer Wright Hopkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-8666  | |
Leticia Bravo,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 N Race St, Glasgow, KY 42141 Phone: 270-651-9755 Fax: 270-651-7562  | |
Dr. Alison S Campbell, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-651-1111 Fax: 270-659-5852  | |
Laura Elizabeth Brooks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 502-651-1111  | |
Lucas Reed Ryan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5885 Fax: 270-659-5852  | |
Donna Michelle Warren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385  |