| Ms Kerrian A Hazley, MD | |
|
362 State Highway 83, Defuniak Springs, FL 32433-3800 | |
| (850) 892-8015 | |
| (850) 892-8457 |
| Full Name | Ms Kerrian A Hazley |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 362 State Highway 83, Defuniak Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689802993 | NPI | - | NPPES |
| 011940500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 051502 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | ME117182 (Florida) | Primary |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1790746535 PECOS PAC ID: 3072424282 Enrollment ID: O20061222000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kerrian A Hazley, MD 362 State Highway 83, Defuniak Springs, FL 32433-3800 Ph: (850) 892-8015 | Ms Kerrian A Hazley, MD 362 State Highway 83, Defuniak Springs, FL 32433-3800 Ph: (850) 892-8015 |
Dr. Samia Saba Kozman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4500 Fax: 850-892-7079 | |
Dr. James W Howell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 W Main Ave, Defuniak Springs, FL 32435 Phone: 850-892-2888 Fax: 850-892-2405 | |
Kevin Martin Hornsby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4556 Fax: 850-951-4527 | |
Dr. Robert King Persons, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 Phone: 850-892-8015 | |
Dr. Fawzi Fawaz, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 962 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-8800 Fax: 850-951-0203 |