Khislat Azizov, CRNA - Medicare Registered Nurse in Hershey, PA

Khislat Azizov, CRNA is a medicare enrolled "Registered Nurse" in Hershey, Pennsylvania. His current practice location is 163 Laurel Dr, Hershey, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (917) 755-1893.

Khislat Azizov is licensed to practice in Pennsylvania (license number RN659034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013698133.

Contact Information

Khislat Azizov, CRNA
163 Laurel Dr,
Hershey, PA 17033-2674
(917) 755-1893
Not Available

Map and Direction




Provider's Profile

Full NameKhislat Azizov
GenderMale
SpecialityRegistered Nurse
Location163 Laurel Dr, Hershey, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013698133
  • Provider Enumeration Date: 07/31/2023
  • Last Update Date: 08/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032637863
  • Enrollment ID: I20250515002461

Medical Identifiers

Medical identifiers for Khislat Azizov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013698133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN659034 (Pennsylvania)Secondary
163W00000XRegistered Nurse RN659034 (Pennsylvania)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. Khislat Azizov 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 AddressPractice Location Address
Khislat Azizov, CRNA
601 Memory Ln,
York, PA 17402-2231

Ph: (717) 851-1405
Khislat Azizov, CRNA
163 Laurel Dr,
Hershey, PA 17033-2674

Ph: (917) 755-1893

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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