| Rebecca A Hazen, PHD | |
|
11100 Euclid Avenue, Cleveland, OH 44106 | |
| (216) 844-7700 | |
| (216) 286-6341 |
| Full Name | Rebecca A Hazen |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 11100 Euclid Avenue, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548125 | NPI | - | NPPES |
| 000000229448 | Other | OH | UNISON |
| 9229116 | Other | OH | AETNA |
| 2787113 | Medicaid | OH | |
| 421801 | Other | OH | WELLCARE |
| 1021091480001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6398 (Ohio) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca A Hazen, PHD 24701 Euclid Ave, 3rd Floor, Euclid, OH 44117-1714 Ph: () - | Rebecca A Hazen, PHD 11100 Euclid Avenue, Cleveland, OH 44106 Ph: (216) 844-7700 |
Dr. Frank Kenner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Ruth Mclatchie, PSY. S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5311 Mound Ave, Cleveland, OH 44105 Phone: 216-990-3288 | |
Dr. Brianne Markley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic Mellen Center 9500 Euclid Avenue - U10, Cleveland, OH 44195 Phone: 216-444-8600 | |
Scott M Bea, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Dr. Robert L Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5790 | |
Dr. Amy Burleson Sullivan, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: The Cleveland Clinic, 9500 Euclid Ave/u10, Cleveland, OH 44195 Phone: 216-444-5376 | |
Shannon Ciriello, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3817 Martin Luther King Jr Dr, Cleveland, OH 44105 Phone: 216-491-5700 Fax: 216-295-4645 |