Dr William Hazle, MD | |
500 S 11th Ave, Pocatello, ID 83201-4835 | |
(972) 420-8345 | |
(972) 420-7770 |
Full Name | Dr William Hazle |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 500 S 11th Ave, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629039763 | NPI | - | NPPES |
50062 | Other | ID | BC&BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M-8594 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Bear Lake County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174741441 PECOS PAC ID: 5395799860 Enrollment ID: O20071003000677 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Dr William Hazle, MD 500 S 11th Ave, Pocatello, ID 83201-4835 Ph: (972) 420-8345 | Dr William Hazle, MD 500 S 11th Ave, Pocatello, ID 83201-4835 Ph: (972) 420-8345 |
Dr. Robert Michael Kennedy, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, G15, Pocatello, ID 83201 Phone: 208-239-2722 Fax: 208-239-3759 | |
Dr. Kathleen Anne Erwin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2571 Fax: 208-239-3665 | |
Dr. Mary Elizabeth Gerard, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste B4, Pocatello, ID 83201 Phone: 208-232-2233 Fax: 208-232-2299 | |
Richard D Karem, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2722 Fax: 208-239-3759 | |
Dr. Linda E Carter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 421 Memorial Dr, Pocatello, ID 83201 Phone: 208-234-7900 |