Allison Jean Hazy, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Toccoa, Georgia. Her current practice location is
1640 Falls Rd, Toccoa, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 297-7023.
Allison Jean Hazy is licensed to practice in Georgia (license number 101311) 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 1093370413.
Physician's Profile
Full Name | Allison Jean Hazy |
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Gender | Female |
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Speciality | Radiology - Radiation Oncology |
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Location | 1640 Falls Rd, Toccoa, Georgia |
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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: 1093370413
- Provider Enumeration Date: 05/01/2019
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305189168
- Enrollment ID: I20241108001232
Medical Identifiers
Medical identifiers for Allison Jean Hazy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093370413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 4351044228 (Michigan) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 101311 (Georgia) | 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. Allison Jean Hazy allows following entities to bill medicare on her behalf.
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
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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. Allison Jean 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 |
Allison Jean Hazy, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8721 | Allison Jean Hazy, MD 1640 Falls Rd, Toccoa, GA 30577-2411 Ph: (706) 297-7023 |
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