Dr Gale A Hazen, MD | |
5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 | |
(440) 930-6015 | |
(440) 930-6094 |
Full Name | Dr Gale A Hazen |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 51 Years |
Location | 5319 Hoag Dr, Sheffield Village, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265480370 | NPI | - | NPPES |
0821543 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 35042917H (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Lorain, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 115 |
Entity Name | Neurospinecare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790743540 PECOS PAC ID: 4385633635 Enrollment ID: O20040511000743 |
Entity Name | Mercy Health Physicians Lorain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
Mailing Address | Practice Location Address |
---|---|
Dr Gale A Hazen, MD 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 Ph: (440) 930-6015 | Dr Gale A Hazen, MD 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 Ph: (440) 930-6015 |
Dr. Domingo Gonzalez, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 | |
Dr. Mario M Sertich, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 | |
Dr. Bo Hyun Yoo, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5319 Hoag Dr Ste 100, Sheffield Village, OH 44035 Phone: 440-930-6015 Fax: 440-930-6094 |