Jack Hazan, LMHC, CSAT - Medicare Counselor in Miami Beach, FL

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Jack Hazan, LMHC, CSAT is a medicare enrolled "Counselor - Mental Health" provider in Miami Beach, Florida. His current practice location is 1504 Bay Rd Apt 2003, Miami Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (917) 453-9306.

Jack Hazan is licensed to practice in New York (license number 01078301) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376022079.

Contact Information

Jack Hazan, LMHC, CSAT
1504 Bay Rd Apt 2003,
Miami Beach, FL 33139-3277
(917) 453-9306
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJack Hazan
GenderMale
SpecialityCounselor - Mental Health
Location1504 Bay Rd Apt 2003, Miami Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376022079
  • Provider Enumeration Date: 08/13/2018
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052758695
  • Enrollment ID: I20240319002515

Medical Identifiers

Medical identifiers for Jack Hazan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376022079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (New York)Secondary
101YM0800XCounselor - Mental Health 01078301 (New York)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. Jack Hazan allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053
Entity NameJack Hazan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508639279
PECOS PAC ID: 9739526385
Enrollment ID: O20240319002435

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. Jack Hazan 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 AddressPractice Location Address
Jack Hazan, LMHC, CSAT
401 W 25th St Apt 13c,
New York, NY 10001-6575

Ph: (917) 453-9306		Jack Hazan, LMHC, CSAT
1504 Bay Rd Apt 2003,
Miami Beach, FL 33139-3277

Ph: (917) 453-9306

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.