Mindy L Hazard, FNP-BC | |
2200 Wabash Ave, Springfield, IL 62704-5352 | |
(217) 528-7541 | |
Not Available |
Full Name | Mindy L Hazard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 2200 Wabash Ave, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609817543 | NPI | - | NPPES |
P00350642 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209006014 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Mindy L Hazard, FNP-BC 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Mindy L Hazard, FNP-BC 2200 Wabash Ave, Springfield, IL 62704-5352 Ph: (217) 528-7541 |
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