Dr Thomas I Hazelton, DDS is a medicare enrolled "Dentist - General Practice" provider in Deckerville, Michigan. His current practice location is
2382 Black River St, Deckerville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 376-2395.
Dr Thomas I Hazelton is licensed to practice in Michigan (license number 14209) 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 1306067400.
Healthcare Provider's Profile
Full Name | Dr Thomas I Hazelton |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2382 Black River St, Deckerville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306067400
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214239086
- Enrollment ID: I20160111001986
Medical Identifiers
Medical identifiers for Dr Thomas I Hazelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306067400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 14209 (Michigan) | Primary |
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. Dr Thomas I Hazelton 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 |
Dr Thomas I Hazelton, DDS Po Box 460, 2382 Black River St, Deckerville, MI 48427 Ph: (810) 376-2395 | Dr Thomas I Hazelton, DDS 2382 Black River St, Deckerville, MI 48427 Ph: (810) 376-2395 |
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