| Mr Tom David Hazel, FNP | |
|
560 Catalina Dr, Ashland, OR 97520-1605 | |
| (541) 201-4800 | |
| (541) 201-4815 |
| Full Name | Mr Tom David Hazel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 35 Years |
| Location | 560 Catalina Dr, Ashland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316944754 | NPI | - | NPPES |
| 032842 | Medicaid | OR | |
| 136114 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 083042659 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Ashland Community Hospital | Ashland, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Talent Clinic, Llc | 0345478350 | 3 |
| Entity Name | Talent Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629410162 PECOS PAC ID: 0345478350 Enrollment ID: O20140121002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tom David Hazel, FNP 280 Maple St, Ashland, OR 97520-1552 Ph: (541) 201-4800 | Mr Tom David Hazel, FNP 560 Catalina Dr, Ashland, OR 97520-1605 Ph: (541) 201-4800 |
Ms. Kellyn Marshall, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 Oak St Ste 208, Ashland, OR 97520 Phone: 541-656-2279 Fax: 541-314-9627 | |
Juliana Ayres, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 Oak St Apt 4, Ashland, OR 97520 Phone: 541-422-3851 Fax: 541-325-4827 | |
Donna M Markle, RN PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Ohsu School Of Nursing, 1250 Siskiyou Blvd, Ashland, OR 97520 Phone: 541-552-6729 Fax: 541-552-6055 | |
Mrs. Barbara Denys Hinds, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Catalina Dr, Ashland, OR 97520 Phone: 541-201-4800 Fax: 541-201-4815 | |
Kamara Marie Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Ray Ln, Ashland, OR 97520 Phone: 541-404-4485 Fax: 541-225-4884 | |
Ms. Rebecca Suzanne Parker, RN, MN, CNM, FNP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Oak St, Ashland, OR 97520 Phone: 503-819-3712 Fax: 541-708-0230 | |
Jennifer Bullock, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 993 Siskiyou Blvd Ste 1, Ashland, OR 97520 Phone: 541-631-8387 Fax: 541-708-6090 |