Zachary David Hazelton, DDS in Bemidji, MN - Medicare Dentist Provider

Zachary David Hazelton, DDS is a medicare enrolled "Dentist" provider in Bemidji, Minnesota. His current practice location is 677 Anne St Nw, Ste F, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 333-8668.

Zachary David Hazelton is licensed to practice in Minnesota (license number D12566) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184884231.

Contact Information

	Zachary David Hazelton, DDS
	677 Anne St Nw, Ste F, Bemidji, MN 56601-4390
	(218) 333-8668
	Not Available

Healthcare Provider's Profile

Full Name	Zachary David Hazelton
Gender	Male
Speciality	Dentist
Location	677 Anne St Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184884231
Provider Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008

Medicare PECOS Information:

PECOS PAC ID: 5698042620
Enrollment ID: I20170523002276

Medical Identifiers

Medical identifiers for Zachary David Hazelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184884231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12566 (Minnesota)	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. Zachary David Hazelton 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
Zachary David Hazelton, DDS Po Box 397, Bemidji, MN 56619-0397 Ph: (218) 333-8668	Zachary David Hazelton, DDS 677 Anne St Nw, Ste F, Bemidji, MN 56601-4390 Ph: (218) 333-8668

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Dentist in Bemidji, MN

Dr. Trevor Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 25th St Nw, Bemidji, MN 56601 Phone: 218-751-8325
Baret Williams-furfaro, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3622 Moberg Dr Nw, Bemidji, MN 56601 Phone: 218-751-4216
Dr. Gary S Erickson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 25th Street Nw, Bemidji, MN 56601 Phone: 218-751-8626
Dr. Katie Louise Peterson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1405 Anne St Nw, Northern Dental Access Center, Bemidji, MN 56601 Phone: 218-444-9646 Fax: 218-444-9252
Dr. Douglas Russell Williams, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 4th St Nw, Bemidji, MN 56601 Phone: 218-751-4216 Fax: 218-444-6057
Dr. Michael David Feil, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2229 23rd St Nw, Heltbwaters Dental, Bemidji, MN 56601 Phone: 218-333-6515 Fax: 218-333-6519

Zachary David Hazelton, DDS - Medicare Dentist in Bemidji, MN