Dr Keith Zachary Hazleton, MD, PHD in Los Angeles, CA

Dr Keith Zachary Hazleton, MD, PHD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Los Angeles, California. His current practice location is 4650 W Sunset Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 660-2450.

Dr Keith Zachary Hazleton is licensed to practice in California (license number C190821) 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 1770825275.

Contact Information

	Dr Keith Zachary Hazleton, MD, PHD
	4650 W Sunset Blvd, Los Angeles, CA 90027-6062
	(323) 660-2450
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Zachary Hazleton
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	4650 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770825275
Provider Enumeration Date: 03/22/2013
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5092019174
Enrollment ID: I20200701002793

Medical Identifiers

Medical identifiers for Dr Keith Zachary Hazleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770825275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	DR.0055436 (Colorado)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	61253 (Arizona)	Secondary
2080T0004X	Pediatrics - Pediatric Transplant Hepatology	DR.0055436 (Colorado)	Secondary
2080T0004X	Pediatrics - Pediatric Transplant Hepatology	61253 (Arizona)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	C190821 (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. Dr Keith Zachary Hazleton allows following entities to bill medicare on his behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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 Keith Zachary Hazleton 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 Keith Zachary Hazleton, MD, PHD 4650 W Sunset Blvd # Ms 87, Los Angeles, CA 90027-6062 Ph: (323) 361-3550	Dr Keith Zachary Hazleton, MD, PHD 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 660-2450

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Dr Keith Zachary Hazleton, MD, PHD - Medicare Pediatrics in Los Angeles, CA