Dr Grace E Hazeltine, PHD in Culver City, CA - Medicare Psychologist Provider

Dr Grace E Hazeltine, PHD is a medicare enrolled "Psychologist" provider in Culver City, California. Her current practice location is 4212 1/2 Overland Ave, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (323) 553-2205.

Dr Grace E Hazeltine is licensed to practice in California (license number PSY33148) 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 1578008256.

Contact Information

	Dr Grace E Hazeltine, PHD
	4212 1/2 Overland Ave, Culver City, CA 90230-3736
	(323) 553-2205
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grace E Hazeltine
Gender	Female
Speciality	Psychologist
Location	4212 1/2 Overland Ave, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578008256
Provider Enumeration Date: 01/04/2017
Last Update Date: 05/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8325411283
Enrollment ID: I20230301002177

Medical Identifiers

Medical identifiers for Dr Grace E Hazeltine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578008256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY33148 (California)	Primary
103T00000X	Psychologist	PSY33418 (California)	Secondary

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. Dr Grace E Hazeltine allows following entities to bill medicare on her behalf.

Entity Name	Grace E Hazeltine Bartman Ph D Psychologist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760197255 PECOS PAC ID: 7416320379 Enrollment ID: O20230224000793

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. Dr Grace E Hazeltine 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
Dr Grace E Hazeltine, PHD 4212 1/2 Overland Ave, Culver City, CA 90230-3736 Ph: () -	Dr Grace E Hazeltine, PHD 4212 1/2 Overland Ave, Culver City, CA 90230-3736 Ph: (323) 553-2205

Reviews and Comments

Psychologist in Culver City, CA

Dr. Sara Michele Mehrabani, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9696 Culver Blvd Ste 303, Culver City, CA 90232 Phone: 323-909-9263
Dr. Janis Rosenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 Overland Ave, Culver City, CA 90230 Phone: 310-841-0302
Dr. Patricia A. Ziegler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10837 Franklin Ave, Culver City, CA 90230 Phone: 310-859-5880
Dr. Franklin Carvajal, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3567 Wesley St, Culver City, CA 90232 Phone: 540-818-4304 Fax: 323-488-9569
Ms. Deanna Michelle Olivas, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10533 Washington Blvd, Culver City, CA 90232 Phone: 310-694-5590
Dr. Linda Edna Weinberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10825 Bernardo Rd, Culver City, CA 90230 Phone: 310-837-1170
Chisato Komatsu, BCBA-D, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 6210 Bristol Pkwy Apt 206, Culver City, CA 90230 Phone: 213-407-9048

Dr Grace E Hazeltine, PHD - Medicare Psychologist in Culver City, CA