Kelley Hazel, CNM in Gilbert, AZ - Medicare Advanced Practice Midwife

Kelley Hazel, CNM is a medicare enrolled "Advanced Practice Midwife" in Gilbert, Arizona. Her current practice location is 3530 S Val Vista Dr Ste 203, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 917-6480.

Kelley Hazel is licensed to practice in * (Not Available) (license number ) 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 1326561499.

Contact Information

	Kelley Hazel, CNM
	3530 S Val Vista Dr Ste 203, Gilbert, AZ 85297-7322
	(480) 917-6480
	(480) 857-2667

Map and Direction

Provider's Profile

Full Name	Kelley Hazel
Gender	Female
Speciality	Advanced Practice Midwife
Location	3530 S Val Vista Dr Ste 203, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326561499
Provider Enumeration Date: 07/20/2017
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7012280779
Enrollment ID: I20170831003200

Medical Identifiers

Medical identifiers for Kelley Hazel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326561499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	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. Kelley Hazel allows following entities to bill medicare on her behalf.

Entity Name	Women's Care Arizona, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942977624 PECOS PAC ID: 6103215322 Enrollment ID: O20211109003308

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. Kelley 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
Kelley Hazel, CNM Po Box 748860, Atlanta, GA 30374 Ph: (480) 821-3600	Kelley Hazel, CNM 3530 S Val Vista Dr Ste 203, Gilbert, AZ 85297-7322 Ph: (480) 917-6480

Reviews and Comments

Advanced Practice Midwife Nurses in Gilbert, AZ

Melissa R Peterson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295 Phone: 480-814-1910 Fax: 480-857-2667
Mallorie Estelle Resendez Bassetti, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3530 S Val Vista Dr Ste A111, Gilbert, AZ 85297 Phone: 480-818-9530 Fax: 833-963-2174
Ms. Cynthia Churgin, FNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd Ste 235, Gilbert, AZ 85295 Phone: 480-813-0944 Fax: 480-813-0038
Janice Louise Bovee, CNM MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3815 S. Val Vista Drive, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939
Kelly Jo Plencner-vega, MSN,CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939
Anjulie Broderick, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd, Ste 516, Gilbert, AZ 85295 Phone: 480-814-1910 Fax: 480-857-2667

Kelley Hazel, CNM - Medicare Advanced Practice Midwife in Gilbert, AZ