| Mr Tom David Hazel, FNP | |
|
49 Talent Ave, Talent, OR 97540-9638 | |
| (541) 773-3863 | |
| Not Available |
| Full Name | Mr Tom David Hazel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 35 Years |
| Location | 49 Talent Ave, Talent, 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 |
|---|---|---|
| Accentcare Home Health Of Rogue Valley, Llc | Medford, OR | Home health agency |
| Asante Hospice | Talent, OR | Hospice |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Ashland Community Hospital | Ashland, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Providence Medford Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rogue Community Health | 1557266236 | 31 |
| Entity Name | Rogue Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073511721 PECOS PAC ID: 1557266236 Enrollment ID: O20040226000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tom David Hazel, FNP 1221 Disk Dr, Medford, OR 97501-6638 Ph: (458) 658-5930 | Mr Tom David Hazel, FNP 49 Talent Ave, Talent, OR 97540-9638 Ph: (541) 773-3863 |
Loveleen K Ahluwalia, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 416-469-9285 Fax: 541-615-9308 |
Sarah Am Kalina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 416-469-9285 Fax: 416-159-3085 |
Roberta A Kaiser, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 E Main St, Talent, OR 97540 Phone: 541-535-9108 |
Mrs. Ute Frommer Sherbow, CNM NP MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 East Main Street, Talent, OR 97540 Phone: 541-535-9108 Fax: 541-535-8809 |
Shayna Marie Richards, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 127, Talent, OR 97540 Phone: 541-690-0919 |
Georgette L Nadeau, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 541-646-1066 Fax: 541-615-9308 |
Marlene Dabestan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 541-646-9928 |