Mrs Tori Raye Hazel, AGCNS-BC - Medicare Clinical Nurse Specialist in Altus, OK

Mrs Tori Raye Hazel, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Altus, Oklahoma. Her current practice location is 1200 E Broadway St, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 379-6000.

Mrs Tori Raye Hazel is licensed to practice in Oklahoma (license number 204080) 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 1578134979.

Contact Information

Mrs Tori Raye Hazel, AGCNS-BC
1200 E Broadway St,
Altus, OK 73521-5702
(580) 379-6000
Not Available



Provider's Profile

Full NameMrs Tori Raye Hazel
GenderFemale
SpecialityClinical Nurse Specialist - Gerontology
Location1200 E Broadway St, Altus, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578134979
  • Provider Enumeration Date: 07/07/2021
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830573427
  • Enrollment ID: I20220831000993

Medical Identifiers

Medical identifiers for Mrs Tori Raye Hazel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578134979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SG0600XClinical Nurse Specialist - Gerontology 204080 (Oklahoma)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. Mrs Tori Raye Hazel allows following entities to bill medicare on her behalf.
Entity NameCancer Centers Of Southwest Oklahoma, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073787792
PECOS PAC ID: 7810065323
Enrollment ID: O20100308000391

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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. Mrs Tori Raye 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
Mrs Tori Raye Hazel, AGCNS-BC
1104 Ruth Rd,
Altus, OK 73521-1236

Ph: (580) 471-8171
Mrs Tori Raye Hazel, AGCNS-BC
1200 E Broadway St,
Altus, OK 73521-5702

Ph: (580) 379-6000

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Clinical Nurse Specialist Nurses in Altus, OK

Morgan Paige Johns, APRN-CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 304 S Park Ln, Altus, OK 73521
Phone: 580-379-6500    Fax: 580-379-6509

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