Hazel Louise Williston, in Medford, OR - Medicare Counselor Provider

Hazel Louise Williston, is a medicare enrolled "Counselor - Professional" provider in Medford, Oregon. Her current practice location is 200 Beatty St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 414-2373.

Hazel Louise Williston is licensed to practice in Oregon (license number C7077) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356909725.

Contact Information

	Hazel Louise Williston,
	200 Beatty St, Medford, OR 97501-5811
	(541) 414-2373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hazel Louise Williston
Gender	Female
Speciality	Counselor - Professional
Location	200 Beatty St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356909725
Provider Enumeration Date: 05/31/2019
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 6002267184
Enrollment ID: I20240112003535

Medical Identifiers

Medical identifiers for Hazel Louise Williston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356909725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C7077 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hazel Louise Williston allows following entities to bill medicare on her behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

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. Hazel Louise Williston 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
Hazel Louise Williston, 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373	Hazel Louise Williston, 200 Beatty St, Medford, OR 97501-5811 Ph: (541) 414-2373

Reviews and Comments

Counselor in Medford, OR

Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127
Mollie Faye Terpening, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Crater Lake Ave, Medford, OR 97504 Phone: 541-890-5180 Fax: 541-770-5070
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948

Hazel Louise Williston, - Medicare Counselor in Medford, OR