Ms Kerrian A Hazley, MD | |
362 State Highway 83, Defuniak Springs, FL 32433-3800 | |
(850) 892-8015 | |
(850) 892-8457 |
Full Name | Ms Kerrian A Hazley |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 362 State Highway 83, Defuniak Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689802993 | NPI | - | NPPES |
011940500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 051502 (Connecticut) | Secondary |
207Q00000X | Family Medicine | ME117182 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1790746535 PECOS PAC ID: 3072424282 Enrollment ID: O20061222000176 |
Mailing Address | Practice Location Address |
---|---|
Ms Kerrian A Hazley, MD 362 State Highway 83, Defuniak Springs, FL 32433-3800 Ph: (850) 892-8015 | Ms Kerrian A Hazley, MD 362 State Highway 83, Defuniak Springs, FL 32433-3800 Ph: (850) 892-8015 |
Dr. Samia Saba Kozman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4500 Fax: 850-892-7079 | |
Dr. James W Howell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 W Main Ave, Defuniak Springs, FL 32435 Phone: 850-892-2888 Fax: 850-892-2405 | |
Kevin Martin Hornsby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4556 Fax: 850-951-4527 | |
Dr. Robert King Persons, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 Phone: 850-892-8015 | |
Dr. Fawzi Fawaz, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 962 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-8800 Fax: 850-951-0203 |