Dia Hazra, MD - Medicare Pediatrics in Beaverton, OR

Dia Hazra, MD is a medicare enrolled "Pediatrics" physician in Beaverton, Oregon. Her current practice location is 4855 Sw Western Ave, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 939-8317.

Dia Hazra is licensed to practice in Oregon (license number 198701) 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 1912438953.

Contact Information

Dia Hazra, MD
4855 Sw Western Ave,
Beaverton, OR 97005-3460
(503) 939-8317
Not Available



Physician's Profile

Full NameDia Hazra
GenderFemale
SpecialityPediatrics
Location4855 Sw Western Ave, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912438953
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 05/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749558724
  • Enrollment ID: I20200812002903

Medical Identifiers

Medical identifiers for Dia Hazra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912438953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 60756769 (Washington)Secondary
208000000XPediatrics 198701 (Oregon)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. Dia Hazra allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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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. Dia Hazra 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 AddressPractice Location Address
Dia Hazra, MD
4855 Sw Western Ave,
Beaverton, OR 97005-3460

Ph: () -
Dia Hazra, MD
4855 Sw Western Ave,
Beaverton, OR 97005-3460

Ph: (503) 939-8317

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Pediatrics Doctors in Beaverton, OR

Douglas Joseph Hamill, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 Sw Western Ave, Beaverton Medical Office, Beaverton, OR 97005
Phone: 503-643-7565    
Dr. Luanne Nilsen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-643-7565    
Dean A Moshofsky, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006
Phone: 503-534-3434    Fax: 503-645-4544
Heather M Moore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    Fax: 503-645-4544
Thomas Jeffrey Anderson Ii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    Fax: 503-645-4544
Cole Julius Nygard,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    
Mary Ellen Ulmer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006
Phone: 503-646-0161    Fax: 503-643-7459

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