Michael Travis Hazy, LMHC in Munster, IN - Medicare Counselor Provider

Michael Travis Hazy, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Munster, Indiana. His current practice location is 9250 Columbia Ave, Munster, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 595-0043.

Michael Travis Hazy is licensed to practice in Indiana (license number 39004935A) 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 1811686819.

Contact Information

	Michael Travis Hazy, LMHC
	9250 Columbia Ave, Munster, IN 46321-3538
	(219) 595-0043
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Travis Hazy
Gender	Male
Speciality	Counselor - Mental Health
Location	9250 Columbia Ave, Munster, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811686819
Provider Enumeration Date: 05/04/2023
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6507208147
Enrollment ID: I20240528002000

Medical Identifiers

Medical identifiers for Michael Travis Hazy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811686819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39004935A (Indiana)	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. Michael Travis Hazy allows following entities to bill medicare on his behalf.

Entity Name	Nwi Clarity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619412160 PECOS PAC ID: 5991082976 Enrollment ID: O20170428000976

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. Michael Travis Hazy 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
Michael Travis Hazy, LMHC 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043	Michael Travis Hazy, LMHC 9250 Columbia Ave, Munster, IN 46321-3538 Ph: (219) 595-0043

Reviews and Comments

Counselor in Munster, IN

Laura Rafaela Borowiec, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894
Patricia E Donovan, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8955 Columbia Ave, Munster, IN 46321 Phone: 219-923-8110 Fax: 219-923-8126
Joan B Clare, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8955 Columbia Ave, Munster, IN 46321 Phone: 219-923-8110 Fax: 219-923-8126
Hillary P Jones, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894
Kathryn Druzbicki, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894
John Michael Nelson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894
Erin M Swinson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043

Michael Travis Hazy, LMHC - Medicare Counselor in Munster, IN