| Kenneth S Hazlett, MD | |
|
701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | |
| (321) 799-7111 | |
| (770) 237-4866 |
| Full Name | Kenneth S Hazlett |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 701 W Cocoa Beach Cswy, Cocoa Beach, Florida |
| 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 |
|---|---|---|---|
| 1023026945 | NPI | - | NPPES |
| 43699 | Other | FL | BCBS |
| 300137407 | Other | MEDICARE RR | |
| 254743100 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Health First Medical Group Llc | 7416100672 | 596 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth S Hazlett, MD Po Box 2400, Melbourne, FL 32902-2400 Ph: (866) 744-1461 | Kenneth S Hazlett, MD 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 Ph: (321) 799-7111 |
Douglas M Gordon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7111 Fax: 770-621-3181 | |
Diane K Bergau, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7111 Fax: 770-237-4866 | |
Dr. Aaron M Hattaway, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7192 | |
Daniel M Forrest, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7111 Fax: 770-237-4866 | |
David J Hilleren, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7111 Fax: 770-237-4866 | |
Dr. Michael Grainger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-799-7192 |