| Tracy M Hazelton, PA-C | |
|
14440 Olympic Drive, Clearlake, CA 95422-8809 | |
| (707) 263-8383 | |
| (707) 263-5019 |
| Full Name | Tracy M Hazelton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 30 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821024746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA13690 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Home Care Services | Lower lake, CA | Home health agency |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake County Tribal Health Consortium Inc | 8729975545 | 42 |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| 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 |
Putue Teh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 |
Mr. Daniel Albert Lowery, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 |
Katarina Juhaszova, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 |
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 |
Alexis Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-944-2401 |