Mr Tom David Hazel, FNP - Medicare Nurse Practitioner in Ashland, OR

Mr Tom David Hazel, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ashland, Oregon. He graduated from nursing school in 1991 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Talent Clinic, Llc and his current practice location is 560 Catalina Dr, Ashland, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 201-4800.

Mr Tom David Hazel is licensed to practice in Oregon (license number 083042659) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316944754.

Contact Information

Mr Tom David Hazel, FNP
560 Catalina Dr,
Ashland, OR 97520-1605
(541) 201-4800
(541) 201-4815



Provider's Profile

Full NameMr Tom David Hazel
GenderMale
SpecialityNurse Practitioner
Experience33 Years
Location560 Catalina Dr, Ashland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tom David Hazel graduated from nursing school in 1991
  NPI Data:
  • NPI Number: 1316944754
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 05/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4789778358
  • Enrollment ID: I20070913000679

Medical Identifiers

Medical identifiers for Mr Tom David Hazel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316944754NPI-NPPES
032842MedicaidOR
136114MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 083042659 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Three Rivers HomecareGrants pass, ORHome health agency
Asante Rogue Regional Medical CenterMedford, ORHospital
Asante Ashland Community HospitalAshland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Talent Clinic, Llc03454783503

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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. Mr Tom David Hazel allows following entities to bill medicare on his behalf.
Entity NameTalent Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629410162
PECOS PAC ID: 0345478350
Enrollment ID: O20140121002012

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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. Mr Tom David Hazel 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
Mr Tom David Hazel, FNP
280 Maple St,
Ashland, OR 97520-1552

Ph: (541) 201-4800
Mr Tom David Hazel, FNP
560 Catalina Dr,
Ashland, OR 97520-1605

Ph: (541) 201-4800

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Nurse Practitioner Nurses in Ashland, OR

Ms. Kellyn Marshall, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 Oak St Ste 208, Ashland, OR 97520
Phone: 541-656-2279    Fax: 541-314-9627
Juliana Ayres, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 Oak St Apt 4, Ashland, OR 97520
Phone: 541-422-3851    Fax: 541-325-4827
Christa Elane Degrazia, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 146 Clear Creek Dr, Suite 350, Ashland, OR 97520
Phone: 541-494-8888    Fax: 541-494-1300
Donna M Markle, RN PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Ohsu School Of Nursing, 1250 Siskiyou Blvd, Ashland, OR 97520
Phone: 541-552-6729    Fax: 541-552-6055
Mrs. Barbara Denys Hinds, GNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 560 Catalina Dr, Ashland, OR 97520
Phone: 541-201-4800    Fax: 541-201-4815
Kamara Marie Dodd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 644 Ray Ln, Ashland, OR 97520
Phone: 541-404-4485    Fax: 541-225-4884
Nicholas Scott Normandin,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 148 E Hersey St, Ashland, OR 97520
Phone: 541-326-4777    

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