Hazen Timothy Herzog, PHYSICIAN ASSISTANT in Coos Bay, OR

Hazen Timothy Herzog, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Surgical" in Coos Bay, Oregon. His current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 267-5151.

Hazen Timothy Herzog is licensed to practice in Oregon (license number PA152638) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932433190.

Contact Information

	Hazen Timothy Herzog, PHYSICIAN ASSISTANT
	1900 Woodland Dr, Coos Bay, OR 97420-2045
	(541) 267-5151
	(541) 266-4501

Map and Direction

Provider's Profile

Full Name	Hazen Timothy Herzog
Gender	Male
Speciality
Experience	Years
Location	1900 Woodland Dr, Coos Bay, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hazen Timothy Herzog attended and graduated from in

NPI Data:

NPI Number: 1932433190
Provider Enumeration Date: 09/21/2009
Last Update Date: 11/08/2013

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Hazen Timothy Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932433190	NPI	-	NPPES
161133	Other	OR	GROUP MEDICAID NORTH BEND MEDICAL CENTER
500625533	Medicaid	OR
74623731206	Other	UT	LICENSE
P01220506	Other	OR	RAILROAD MEDICARE
R000WFBTV	Other	OR	GROUP MEDICARE NORTH BEND MEDICAL CENTER
1407812365	Other	OR	GROUP NPI NORTH BEND MEDICAL CENTER
93-0635514	Other	OR	GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
PA152638	Other	OR	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	7462373-1206 (Utah)	Secondary
363AS0400X	Physician Assistant - Surgical	PA152638 (Oregon)	Primary

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. Hazen Timothy Herzog 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
Hazen Timothy Herzog, PHYSICIAN ASSISTANT 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151	Hazen Timothy Herzog, PHYSICIAN ASSISTANT 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151

Reviews and Comments

Physician Assistant Nurses in Coos Bay, OR

Akhila Parepalli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111
Mr. Gregory Sopka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Casey Afton Quayle, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Benjamin Val Chu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111
Clifford S Lance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708
Magdalene Clare Shaughnessy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Matthew E Cornia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3635 Fax: 541-269-0708

Hazen Timothy Herzog, PHYSICIAN ASSISTANT - Medicare in Coos Bay, OR