Mackenzie Danielle Hazzard, is a medicare enrolled "Nurse Practitioner - Family" in Davis Junction, Illinois. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Swedishamerican Hospital and her current practice location is
5665 N Junction Way, Davis Junction, Illinois. You can reach out to her office (for appointments etc.) via phone at
(779) 696-9200.
Mackenzie Danielle Hazzard is licensed to practice in Illinois (license number 209030723) 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 1568295459.
Provider's Profile
| Full Name | Mackenzie Danielle Hazzard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 5665 N Junction Way, Davis Junction, Illinois |
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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:
- Mackenzie Danielle Hazzard graduated from nursing school in 2024
NPI Data:
- NPI Number: 1568295459
- Provider Enumeration Date: 08/26/2024
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143757765
- Enrollment ID: I20241220001739
Medical Identifiers
Medical identifiers for Mackenzie Danielle Hazzard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568295459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209030723 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Swedishamerican Hospital | 5799698346 | 332 |
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. Mackenzie Danielle Hazzard allows following entities to bill medicare on her behalf.
| Entity Name | Swedishamerican Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012 |
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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. Mackenzie Danielle Hazzard 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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Mackenzie Danielle Hazzard,
3077 S Weldon Rd,
Rockford, IL 61102-3645
Ph: (815) 218-9716 | Mackenzie Danielle Hazzard,
5665 N Junction Way,
Davis Junction, IL 61020-9433
Ph: (779) 696-9200 |
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