Camille Hazlewood, in Sanford, FL - Medicare Nurse Practitioner

Camille Hazlewood, is a medicare enrolled "Nurse Practitioner" in Sanford, Florida. Her current practice location is 905 Historic Goldsboro Blvd, Sanford, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 337-6992.

Camille Hazlewood is licensed to practice in Florida (license number 1009892) 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 1083299325.

Contact Information

	Camille Hazlewood,
	905 Historic Goldsboro Blvd, Sanford, FL 32771-2415
	(407) 337-6992
	Not Available

Map and Direction

Provider's Profile

Full Name	Camille Hazlewood
Gender	Female
Speciality	Nurse Practitioner
Location	905 Historic Goldsboro Blvd, Sanford, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083299325
Provider Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 2264819895
Enrollment ID: I20220519001235

Medical Identifiers

Medical identifiers for Camille Hazlewood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083299325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1009892 (Florida)	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. Camille Hazlewood allows following entities to bill medicare on her behalf.

Entity Name	Pcc Medical Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174167993 PECOS PAC ID: 0446679468 Enrollment ID: O20200924001757

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. Camille Hazlewood 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
Camille Hazlewood, 4407 Drexel Ave, Orlando, FL 32808-1901 Ph: (321) 356-7814	Camille Hazlewood, 905 Historic Goldsboro Blvd, Sanford, FL 32771-2415 Ph: (407) 337-6992

Reviews and Comments

Nurse Practitioner Nurses in Sanford, FL

Jill Christine Kornegay, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Sr 415, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-322-8725
Mrs. Linda Jan Carlson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773 Phone: 407-324-3036 Fax: 407-324-3045
Patricia Anne Bartholomew, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 E 2nd St, Sanford, FL 32771 Phone: 407-875-3700
Feron Foster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 Pine Isle Dr, Sanford, FL 32773 Phone: 561-797-2367
Arden Monroe-obermeit, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773 Phone: 407-324-3036
Simone Harris, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645
Kimcheree Jackson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645

Camille Hazlewood, - Medicare Nurse Practitioner in Sanford, FL