Ms Kathleen M Hazel, NP CNM MSN is a medicare enrolled "Advanced Practice Midwife" physician in Hartford, Connecticut. Her current practice location is
80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 972-2780.
Ms Kathleen M Hazel is licensed to practice in Connecticut (license number 003737) 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 1619043742.
Physician's Profile
Full Name | Ms Kathleen M Hazel |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 80 Seymour Street, Hartford, Connecticut |
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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: 1619043742
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 1951582519
- Enrollment ID: I20140313000044
Medical Identifiers
Medical identifiers for Ms Kathleen M Hazel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619043742 | NPI | - | NPPES |
00362863 | Medicaid | NY | |
000379 | Other | CT | CT MIDWIFE LICENSE |
140082 | Other | TN | RN |
16805 | Other | TN | APN LICENSE- MIDWIFE |
379 | Other | CT | MIDWIFE LICENSE |
F-420766-1 | Other | NY | LICENSE |
02914276 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | F-420766-1 (New York) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | F420766-1 (New York) | Secondary |
363L00000X | Nurse Practitioner | F420766-1 (New York) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | F-420766-1 (New York) | Secondary |
367A00000X | Advanced Practice Midwife | 003737 (Connecticut) | 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. Ms Kathleen M Hazel allows following entities to bill medicare on her behalf.
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
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Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
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Entity Name | Obgyn Group Of Eastern Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376756908 PECOS PAC ID: 2769370352 Enrollment ID: O20040305000770 |
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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. Ms Kathleen M Hazel 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 |
Ms Kathleen M Hazel, NP CNM MSN 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102-5037 Ph: (860) 972-2780 | Ms Kathleen M Hazel, NP CNM MSN 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102 Ph: (860) 972-2780 |
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