Mr Gordon Anthony Hazlette, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wright-patterson Afb, OH

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Mr Gordon Anthony Hazlette, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wright-patterson Afb, Ohio. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dayton Anesthesia And Pain Services Llc and his current practice location is 88 Mdg/sghj, 4881 Sugar Maple Dr., Wright-patterson Afb, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-6529.

Mr Gordon Anthony Hazlette is licensed to practice in Virginia (license number 0024167039) 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 1790895662.

Contact Information

Mr Gordon Anthony Hazlette, CRNA
88 Mdg/sghj, 4881 Sugar Maple Dr.,
Wright-patterson Afb, OH 42433
(937) 257-6529
Not Available

Map and Direction




Provider's Profile

Full NameMr Gordon Anthony Hazlette
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location88 Mdg/sghj, Wright-patterson Afb, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Gordon Anthony Hazlette graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1790895662
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577663921
  • Enrollment ID: I20210719001227

Medical Identifiers

Medical identifiers for Mr Gordon Anthony Hazlette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790895662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024167039 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dayton Anesthesia And Pain Services Llc8022245372225

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. Mr Gordon Anthony Hazlette allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Associates Of Cincinnati, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316945173
PECOS PAC ID: 4789598509
Enrollment ID: O20031117000374
Entity NameResource Anesthesia Highlands Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508113903
PECOS PAC ID: 1759526544
Enrollment ID: O20130327000276
Entity NameDayton Anesthesia & Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655

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. Mr Gordon Anthony Hazlette 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
Mr Gordon Anthony Hazlette, CRNA
301 Fisher St,
Biloxi, MS 39534-2508

Ph: (228) 376-6018		Mr Gordon Anthony Hazlette, CRNA
88 Mdg/sghj, 4881 Sugar Maple Dr.,
Wright-patterson Afb, OH 42433

Ph: (937) 257-6529

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Wright-patterson Afb, OH

Mr. Jason Niles Richard, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 88 Mdg, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 43433
Phone: 937-304-2451    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.