Kristin Deneille Hazeman, DNP, APRN, CNM is a medicare enrolled "Advanced Practice Midwife" in Monticello, Minnesota. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Stellis Health, Pa and her current practice location is
1001 Hart Blvd Ste 100, Monticello, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 295-2921.
Kristin Deneille Hazeman is licensed to practice in Minnesota (license number 591) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083228092.
Provider's Profile
| Full Name | Kristin Deneille Hazeman |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 1 Years |
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| Location | 1001 Hart Blvd Ste 100, Monticello, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristin Deneille Hazeman graduated from nursing school in 2024
NPI Data:
- NPI Number: 1083228092
- Provider Enumeration Date: 09/07/2020
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426597915
- Enrollment ID: I20240828002934
Medical Identifiers
Medical identifiers for Kristin Deneille Hazeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083228092 | NPI | - | NPPES |
| 204419-0 | Other | MN | REGISTERED NURSING LICENSE |
| CNM09522 | Other | MN | CERTIFIED NURSE MIDWIFE |
| 591 | Other | MN | APRN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WX0002X | Registered Nurse - Obstetric, High-risk | 204419-0 (Minnesota) | Secondary |
| 367A00000X | Advanced Practice Midwife | 591 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stellis Health, Pa | 1153233796 | 54 |
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. Kristin Deneille Hazeman allows following entities to bill medicare on her behalf.
| Entity Name | Stellis Health Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184664674
PECOS PAC ID: 1153233796
Enrollment ID: O20031103000458 |
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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. Kristin Deneille Hazeman 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 |
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Kristin Deneille Hazeman, DNP, APRN, CNM
19170 Jasper St Nw,
Anoka, MN 55303-9639
Ph: (612) 867-7331 | Kristin Deneille Hazeman, DNP, APRN, CNM
1001 Hart Blvd Ste 100,
Monticello, MN 55362-8929
Ph: (763) 295-2921 |
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