Mrs Hazel Rojo Faellaci, LPN is a
Licensed Practical Nurse based in Lake, Michigan. Mrs Hazel Rojo Faellaci is licensed to practice in Michigan (license number 4703099266) and her current practice location is
5711 Jackson Ave, Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 630-2789.
NPI number for Mrs Hazel Rojo Faellaci is 1881169167 and her current mailing address is 5711 Jackson Ave, Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881169167.
Provider's Profile
Full Name | Mrs Hazel Rojo Faellaci |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5711 Jackson Ave, Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881169167
- Provider Enumeration Date: 10/12/2018
- Last Update Date: 10/12/2018
Medical Identifiers
Medical identifiers for Mrs Hazel Rojo Faellaci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881169167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703099266 (Michigan) | Primary |
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. Mrs Hazel Rojo Faellaci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Hazel Rojo Faellaci, LPN 5711 Jackson Ave, Lake, MI 48632-8932 Ph: (906) 630-2789 | Mrs Hazel Rojo Faellaci, LPN 5711 Jackson Ave, Lake, MI 48632-8932 Ph: (906) 630-2789 |
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