Jacqueline Hazel, in La Mesa, CA - Medicare Counselor Provider

Jacqueline Hazel, is a medicare enrolled "Counselor - Mental Health" provider in La Mesa, California. Her current practice location is 7766 Orien Ave, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (623) 696-8895.

Jacqueline Hazel is licensed to practice in California (license number 143015) 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 1437726924.

Contact Information

	Jacqueline Hazel,
	7766 Orien Ave, La Mesa, CA 91941-6211
	(623) 696-8895
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Hazel
Gender	Female
Speciality	Counselor - Mental Health
Location	7766 Orien Ave, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437726924
Provider Enumeration Date: 06/04/2021
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8022459056
Enrollment ID: I20240508002473

Medical Identifiers

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

Identifier	Type	State	Issuer
1437726924	NPI	-	NPPES
143015	Other	CA	LMFT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	143015 (California)	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. Jacqueline Hazel allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Jacqueline Hazel 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
Jacqueline Hazel, 6977 Navajo Rd # 1010, San Diego, CA 92119-1503 Ph: (623) 696-8895	Jacqueline Hazel, 7766 Orien Ave, La Mesa, CA 91941-6211 Ph: (623) 696-8895

Reviews and Comments

Counselor in La Mesa, CA

Jeremy Buttolph Robson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Avocado School Rd, La Mesa, CA 91941 Phone: 619-588-3653
Sonia Peterson, PH.D. CRC LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8064 Allison Ave # 1563, La Mesa, CA 91942 Phone: 619-559-6646
Miss Vanessa Elayne Farrior I, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 Fax: 619-698-1665
Ms. Helena B Wade, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4700 Spring St, La Mesa, CA 91942 Phone: 619-591-5740
Brittany Nicole Hartman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Mr. Jose Armando Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Jessica Alford, Counselor Medicare: Medicare Enrolled Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 196-668-4200 Fax: 619-668-1665

Jacqueline Hazel, - Medicare Counselor in La Mesa, CA