Kelsea Hazlehurst, in San Mateo, CA - Medicare Physical Therapist Provider

Kelsea Hazlehurst, is a medicare enrolled "Physical Therapist" provider in San Mateo, California. Her current practice location is 528 Edgewood Rd, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at (206) 419-6590.

Kelsea Hazlehurst is licensed to practice in California (license number 292412) 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 1548704349.

Contact Information

	Kelsea Hazlehurst,
	528 Edgewood Rd, San Mateo, CA 94402-1047
	(206) 419-6590
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsea Hazlehurst
Gender	Female
Speciality	Physical Therapist
Location	528 Edgewood Rd, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548704349
Provider Enumeration Date: 12/13/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8123304029
Enrollment ID: I20170407000247

Medical Identifiers

Medical identifiers for Kelsea Hazlehurst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548704349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	292412 (California)	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. Kelsea Hazlehurst allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kelsea Hazlehurst 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
Kelsea Hazlehurst, 528 Edgewood Rd, San Mateo, CA 94402-1047 Ph: (206) 419-6590	Kelsea Hazlehurst, 528 Edgewood Rd, San Mateo, CA 94402-1047 Ph: (206) 419-6590

Reviews and Comments

Physical Therapist in San Mateo, CA

Burlingame Therapeutic Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Baywood Ave, Ste 1, San Mateo, CA 94402 Phone: 650-348-9400 Fax: 650-348-9402
Dr. Christina Nicole Goultas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 S Claremont St Ste 106, San Mateo, CA 94402 Phone: 650-685-4800
Ms. Karen L Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 N San Mateo Drive, Suite 201, San Mateo, CA 94401 Phone: 650-558-0247 Fax: 650-558-1735
Maria Theresa Geronimo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N San Mateo Dr, Suite 2, San Mateo, CA 94401 Phone: 650-343-5678
Dana Jacobs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Tower Rd, San Mateo, CA 94402 Phone: 650-312-8929
Physera Physical Therapy Group, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Concar Dr, San Mateo, CA 94402 Phone: 650-409-1407 Fax: 800-991-2996
Cynthia Cohan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402 Phone: 650-638-9142 Fax: 650-638-9141

Kelsea Hazlehurst, - Medicare Physical Therapist in San Mateo, CA