| Caroline Summersgill Hazlett, | |
|
707 E Marshall Ave, Longview, TX 75601-5545 | |
| (903) 315-4880 | |
| Not Available |
| Full Name | Caroline Summersgill Hazlett |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 707 E Marshall Ave, Longview, Texas |
| 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 |
|---|---|---|---|
| 1053146779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Summersgill Hazlett, 707 E Marshall Ave, Longview, TX 75601-5545 Ph: (318) 514-9352 | Caroline Summersgill Hazlett, 707 E Marshall Ave, Longview, TX 75601-5545 Ph: (903) 315-4880 |
Jennifer Blair Garrett Benson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-291-6287 Fax: 903-291-6286 |
Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145 |
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 |
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 |
Randy Ranshawn Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 |
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801 |
Ms. Ashley Briana-marie Gentry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr # 200, Longview, TX 75605 Phone: 903-235-9787 Fax: 903-291-6155 |