| Susanne Hazel, NP | |
|
1 John James Audubon Pkwy Fl 2, Amherst, NY 14228 | |
| (716) 849-8750 | |
| (716) 849-8756 |
| Full Name | Susanne Hazel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1 John James Audubon Pkwy Fl 2, Amherst, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740243344 | NPI | - | NPPES |
| 00026762505 | Other | NY | UNIVERA |
| 9512581 | Other | NY | IND. HEALTH |
| 00026516801 | Other | NY | UNIVERA |
| 000560496003 | Other | NY | BLUE CROSS |
| 000560496007 | Other | NY | BCBS |
| 02160236 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 63373 (New Mexico) | Secondary |
| 363L00000X | Nurse Practitioner | 332652 (New York) | Primary |
| 363L00000X | Nurse Practitioner | 838613 (Nevada) | Secondary |
| Entity Name | Supportive Medical Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659338184 PECOS PAC ID: 9931176385 Enrollment ID: O20040914001275 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanne Hazel, NP 1 John James Audubon Pkwy Fl 2, Amherst, NY 14228-1145 Ph: (716) 849-8750 | Susanne Hazel, NP 1 John James Audubon Pkwy Fl 2, Amherst, NY 14228 Ph: (716) 849-8750 |
Taylor Sowell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4574 Main St, Amherst, NY 14226 Phone: 716-633-4575 | |
Nancy Kawecki, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4979 Harlem Rd, Amherst, NY 14226 Phone: 716-923-4381 Fax: 716-923-4384 | |
Mrs. Grace Theresa Nesper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226 Phone: 716-250-2000 | |
Clarice M Hart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4979 Harlem Rd, Amherst, NY 14226 Phone: 716-923-4380 Fax: 716-923-4384 | |
Ms. Kelly Michelle Ossman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3980 Sheridan Dr, Amherst, NY 14226 Phone: 716-250-2000 | |
Sarah Weber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3980 Sheridan Dr, Amherst, NY 14226 Phone: 716-541-0224 | |
Ms. Jeanne M Salada-conroy, PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Bryant Woods S, Amherst, NY 14228 Phone: 716-689-3333 Fax: 716-689-9866 |