Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC in Duarte, CA

Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Duarte, California. Her current practice location is 1500 Duarte Rd, Duarte, California. You can reach out to her office (for appointments etc.) via phone at (800) 826-4673.

Amanda Marie Dalia Hazeltine is licensed to practice in California (license number NP95027398) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750007431.

Contact Information

	Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC
	1500 Duarte Rd, Duarte, CA 91010-3012
	(800) 826-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Marie Dalia Hazeltine
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1500 Duarte Rd, Duarte, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750007431
Provider Enumeration Date: 10/14/2022
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0042689234
Enrollment ID: I20221209002247

Medical Identifiers

Medical identifiers for Amanda Marie Dalia Hazeltine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750007431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2346236 (Massachusetts)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP95027398 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Marie Dalia Hazeltine allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Marie Dalia Hazeltine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC Po Box 512185, Los Angeles, CA 90051-0185 Ph: () -	Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (800) 826-4673

Reviews and Comments

Nurse Practitioner Nurses in Duarte, CA

Miss Janice Mae Villegas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Park Rose Ave, Duarte, CA 91010 Phone: 626-475-4663
Mrs. Erica H Chin, RN, NP, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 Fax: 626-471-7155
Maria Elena Dela Rosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Mr. Shawn Robert Hurley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673
Tim Nguyen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Miss Gabriela Claudia Medrano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Ashley A. Dorn, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673

Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC - Medicare Nurse Practitioner in Duarte, CA