Tracy M Hazelton, PA-C in Clearlake, CA - Medicare Physician Assistant

Tracy M Hazelton, PA-C is a medicare enrolled "Physician Assistant - Medical" in Clearlake, California. She went to Stanford University School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lake County Tribal Health Consortium Inc and her current practice location is 14440 Olympic Drive, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 263-8383.

Tracy M Hazelton is licensed to practice in California (license number PA13690) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821024746.

Contact Information

	Tracy M Hazelton, PA-C
	14440 Olympic Drive, Clearlake, CA 95422-8809
	(707) 263-8383
	(707) 263-5019

Map and Direction

Provider's Profile

Full Name	Tracy M Hazelton
Gender	Female
Speciality	Physician Assistant
Experience	29 Years
Location	14440 Olympic Drive, Clearlake, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy M Hazelton attended and graduated from Stanford University School Of Medicine in 1996

NPI Data:

NPI Number: 1821024746
Provider Enumeration Date: 06/23/2006
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2264441393
Enrollment ID: I20060418000211

Medical Identifiers

Medical identifiers for Tracy M Hazelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821024746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA13690 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Clearlake	Clearlake, CA	Hospital
Sutter Lakeside Hospital	Lakeport, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake County Tribal Health Consortium Inc	8729975545	37

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. Tracy M Hazelton 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 Address	Practice Location Address
Tracy M Hazelton, PA-C Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8382	Tracy M Hazelton, PA-C 14440 Olympic Drive, Clearlake, CA 95422-8809 Ph: (707) 263-8383

Reviews and Comments

Physician Assistant Nurses in Clearlake, CA

Mr. Daniel Albert Lowery, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Thomas Pickett, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 14440 Olympic Dr, Clearlake, CA 95422 Phone: 707-533-8760 Fax: 707-461-5103
Savannah Saephan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090
Mr. Jeffrey W Meyers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Tammy Ezinne Onu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401
Eric Jason Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Avenue, Clearlake, CA 95422 Phone: 707-225-7129

Tracy M Hazelton, PA-C - Medicare Physician Assistant in Clearlake, CA