| Rebecca Rose Hazen, | |
|
4207 Germanna Hwy Ste E, Locust Grove, VA 22508-2040 | |
| (540) 779-5426 | |
| Not Available |
| Full Name | Rebecca Rose Hazen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4207 Germanna Hwy Ste E, Locust Grove, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477261139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024185743 (Virginia) | Primary |
| Entity Name | Lifestyle Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134669211 PECOS PAC ID: 1951678747 Enrollment ID: O20170526001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Rose Hazen, 104 Carlyle Ct, Locust Grove, VA 22508-5340 Ph: (571) 316-3828 | Rebecca Rose Hazen, 4207 Germanna Hwy Ste E, Locust Grove, VA 22508-2040 Ph: (540) 779-5426 |
Mrs. Jessica Hayes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4207 Germanna Hwy Ste E, Locust Grove, VA 22508 Phone: 540-726-5659 Fax: 540-322-2706 | |
Lindsey Pagano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4207 Germanna Hwy Ste E, Locust Grove, VA 22508 Phone: 540-726-5659 | |
Rastriyata Bhandari, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4376 Germanna Hwy, Locust Grove, VA 22508 Phone: 540-972-7798 | |
Hannah Marie Dean, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3120 Pilgrim Church Rd, Locust Grove, VA 22508 Phone: 585-472-4595 | |
Mary Eller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4207 Germanna Hwy Ste E, Locust Grove, VA 22508 Phone: 540-726-5659 | |
Heidi Nicole Critchfield, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4444 Germanna Hwy Ste 310, Locust Grove, VA 22508 Phone: 540-972-6222 |