Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC - Medicare Nurse Practitioner in West Hollywood, CA

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Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in West Hollywood, California. Her current practice location is 8700 Beverly Blvd Bldg Suite220, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (310) 423-9520.

Amanda Marie Dalia Hazeltine is licensed to practice in California (license number NP95027398) 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 1750007431.

Contact Information

Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC
8700 Beverly Blvd Bldg Suite220,
West Hollywood, CA 90048-1804
(310) 423-9520
(310) 423-9525

Map and Direction




Provider's Profile

Full NameAmanda Marie Dalia Hazeltine
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location8700 Beverly Blvd Bldg Suite220, West Hollywood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750007431
  • Provider Enumeration Date: 10/14/2022
  • Last Update Date: 08/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042689234
  • Enrollment ID: I20221209002247

Medical Identifiers

Medical identifiers for Amanda Marie Dalia Hazeltine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750007431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN2346236 (Massachusetts)Secondary
363LG0600XNurse Practitioner - Gerontology NP95027398 (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. Amanda Marie Dalia Hazeltine allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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. Amanda Marie Dalia Hazeltine 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 AddressPractice Location Address
Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC
8700 Beverly Blvd Bldg Suite220,
West Hollywood, CA 90048-1804

Ph: () -		Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC
8700 Beverly Blvd Bldg Suite220,
West Hollywood, CA 90048-1804

Ph: (310) 423-9520

Reviews and Comments


Nurse Practitioner Nurses in West Hollywood, CA

Dr. Bernice Louise Coleman, PH.D, ACNP-BC
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Practice Location: 8700 Beverly Blvd, North Tower Room 6215, West Hollywood, CA 90048
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Chiara Casas, NP
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Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-3277    
Ms. Sharon A Galvis, NNP
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Phone: 310-423-4457    Fax: 310-423-2114
Dr. Andrea Banty, FNP
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Phone: 310-423-4100    
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Medicare: Not Enrolled in Medicare
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Pamela Grace Silvestre Mondejar, FNP-C
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Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-3277    
Mrs. Alexandra Elise Saborio, NP
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Practice Location: 8700 Beverly Blvd, Becker Building 220, West Hollywood, CA 90048
Phone: 310-423-5252    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.