Ms Michelle Dawn Hazen, APRN-CNP - Medicare Nurse Practitioner in Moscow, ID

Ms Michelle Dawn Hazen, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Moscow, Idaho. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gritman Medical Center Inc and her current practice location is 831 S Ash St, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 885-6693.

Ms Michelle Dawn Hazen is licensed to practice in Idaho (license number 65286) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902414527.

Contact Information

Ms Michelle Dawn Hazen, APRN-CNP
831 S Ash St,
Moscow, ID 83843
(208) 885-6693
Not Available



Provider's Profile

Full NameMs Michelle Dawn Hazen
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location831 S Ash St, Moscow, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Michelle Dawn Hazen graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1902414527
  • Provider Enumeration Date: 07/20/2020
  • Last Update Date: 09/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486064474
  • Enrollment ID: I20201103000753

Medical Identifiers

Medical identifiers for Ms Michelle Dawn Hazen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902414527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 65286 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gritman Medical CenterMoscow, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gritman Medical Center Inc094154578418

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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. Ms Michelle Dawn Hazen allows following entities to bill medicare on her behalf.
Entity NameGritman Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619988144
PECOS PAC ID: 8729070164
Enrollment ID: O20040402001021

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Entity NameGritman Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538634522
PECOS PAC ID: 0941545784
Enrollment ID: O20181221002296

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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. Ms Michelle Dawn Hazen 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
Ms Michelle Dawn Hazen, APRN-CNP
5217 Robinson Park Rd,
Moscow, ID 83843-9194

Ph: (208) 761-2408
Ms Michelle Dawn Hazen, APRN-CNP
831 S Ash St,
Moscow, ID 83843

Ph: (208) 885-6693

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Nurse Practitioner Nurses in Moscow, ID

Joanne L Braun, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 623 South Main Street, M/med/qi, Sa-1, Moscow, ID 83843
Phone: 208-882-2011    Fax: 208-883-1853
Shannon Snyder, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 803 S Main St Ste 120, Moscow, ID 83843
Phone: 208-848-8300    Fax: 509-444-7806
Sara B Presol, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 213 N Main St, Moscow, ID 83843
Phone: 208-882-7565    Fax: 208-882-7567
Mrs. Deborah Wynne Medel, N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Main St, Moscow, ID 83843
Phone: 208-882-7565    
Fawna Sunshine Huffman, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2301 W A St, Moscow, ID 83843
Phone: 208-883-1135    Fax: 208-892-0174
Clint Emmett, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 875 Perimeter Dr # Ms 3140, Moscow, ID 83844
Phone: 208-885-6716    Fax: 208-885-4354
Rachel Carnes, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2500 W A St Ste 101, Moscow, ID 83843
Phone: 208-882-0540    

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