Jerica Shea Hazelwood, FNP-BC in Union, MS - Medicare Nurse Practitioner

Jerica Shea Hazelwood, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Union, Mississippi. Her current practice location is 209 Main St, Union, Mississippi. You can reach out to her office (for appointments etc.) via phone at (769) 222-7008.

Jerica Shea Hazelwood is licensed to practice in Mississippi (license number 906726) 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 1740023688.

Contact Information

	Jerica Shea Hazelwood, FNP-BC
	209 Main St, Union, MS 39365-2521
	(769) 222-7008
	Not Available

Map and Direction

Provider's Profile

Full Name	Jerica Shea Hazelwood
Gender	Female
Speciality	Nurse Practitioner - Family
Location	209 Main St, Union, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740023688
Provider Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7113464348
Enrollment ID: I20240805003640

Medical Identifiers

Medical identifiers for Jerica Shea Hazelwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740023688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906726 (Mississippi)	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. Jerica Shea Hazelwood allows following entities to bill medicare on her behalf.

Entity Name	Neshoba County General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114057247 PECOS PAC ID: 6204738289 Enrollment ID: O20040121000618

Entity Name	Hometown Urgent Care And Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598486755 PECOS PAC ID: 6800266248 Enrollment ID: O20221230000521

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. Jerica Shea Hazelwood 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
Jerica Shea Hazelwood, FNP-BC 209 Main St, Union, MS 39365-2521 Ph: (769) 222-7008	Jerica Shea Hazelwood, FNP-BC 209 Main St, Union, MS 39365-2521 Ph: (769) 222-7008

Reviews and Comments

Nurse Practitioner Nurses in Union, MS

Mary Elizabeth Spreafico, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24345 Highway 15, Union, MS 39365 Phone: 601-774-8211 Fax: 601-774-8589
Brandy M Wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11670 Highway 21 S, Union, MS 39365 Phone: 601-540-6142
Phillip A Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Main St, Union, MS 39365 Phone: 601-504-3424
Glenda R. Barrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24345 Highway 15, Union, MS 39365 Phone: 601-774-8211 Fax: 601-774-8589
Rhonda Moore, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24345 Highway 15, Union, MS 39365 Phone: 601-774-8211 Fax: 601-774-8589

Jerica Shea Hazelwood, FNP-BC - Medicare Nurse Practitioner in Union, MS