Kemba Hazeley, NNP-BC in Bronx, NY - Medicare Nurse Practitioner

Kemba Hazeley, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Bronx, New York. Her current practice location is 1825 Eastchester Rd Fl 5n, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 904-4032.

Kemba Hazeley is licensed to practice in New York (license number F350491) 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 1811505928.

Contact Information

	Kemba Hazeley, NNP-BC
	1825 Eastchester Rd Fl 5n, Bronx, NY 10461-2301
	(718) 904-4032
	Not Available

Map and Direction

Provider's Profile

Full Name	Kemba Hazeley
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1825 Eastchester Rd Fl 5n, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811505928
Provider Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2860802576
Enrollment ID: I20201109002686

Medical Identifiers

Medical identifiers for Kemba Hazeley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811505928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	F350491 (New York)	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. Kemba Hazeley allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Kemba Hazeley 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
Kemba Hazeley, NNP-BC 111 N 3rd Ave Apt 3u, Mount Vernon, NY 10550-1375 Ph: (845) 323-5620	Kemba Hazeley, NNP-BC 1825 Eastchester Rd Fl 5n, Bronx, NY 10461-2301 Ph: (718) 904-4032

Reviews and Comments

Nurse Practitioner Nurses in Bronx, NY

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Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276
Mrs. Ashley Rae Noboa, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3415 Bainbridge Ave, Bronx, NY 10467 Phone: 718-920-7200 Fax: 718-547-2929
Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Kemba Hazeley, NNP-BC - Medicare Nurse Practitioner in Bronx, NY