Thomas B Hazlehurst, M.d. - Medicare Primary Care in Daly City, CA

Thomas B Hazlehurst, M.d. is a medicare enrolled primary clinic (Internal Medicine) in Daly City, California. The current practice location for Thomas B Hazlehurst, M.d. is 1900 Sullivan Ave, Daly City, California. For appointments, you can reach them via phone at (650) 400-0277. The mailing address for Thomas B Hazlehurst, M.d. is 39159 Paseo Padre Pkwy, Suite 203, Fremont, California and phone number is (510) 505-1091.

Thomas B Hazlehurst, M.d. is licensed to practice in California (license number G37365). The clinic also participates in the medicare program and its NPI number is 1205846789. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (650) 400-0277.

Contact Information

Thomas B Hazlehurst, M.d.
1900 Sullivan Ave
Daly City
CA 94015-2200
(650) 400-0277
(650) 340-1785

Primary Care Clinic Profile

Full NameThomas B Hazlehurst, M.d.
SpecialityInternal Medicine
Location1900 Sullivan Ave, Daly City, California
Authorized Official Name and PositionThomas B Hazlehurst (CEO)
Authorized Official Contact6504000277
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas B Hazlehurst, M.d.
39159 Paseo Padre Pkwy
Suite 203
Fremont
CA 94538-1608

Ph: (510) 505-1091
Thomas B Hazlehurst, M.d.
1900 Sullivan Ave
Daly City
CA 94015-2200

Ph: (650) 400-0277

NPI Details:

NPI Number1205846789
Provider Enumeration Date08/08/2006
Last Update Date03/12/2014

Medicare PECOS Information:

Medicare PECOS PAC ID7315980414
Medicare Enrollment IDO20050609000558

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Medical Identifiers

Medical identifiers for Thomas B Hazlehurst, M.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205846789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G37365 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thomas B Hazlehurst, M.d. acts as a billing entity for following providers:
Provider NameDonna Maria Puzon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801949524
PECOS PAC ID: 2567555717
Enrollment ID: I20070905000308

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Provider NameThomas B Hazlehurst
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1205846771
PECOS PAC ID: 4486697588
Enrollment ID: I20100723000629

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Provider NameCelso Q Huiso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144624958
PECOS PAC ID: 4587967021
Enrollment ID: I20160118000009

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Provider NameSoraya Mangondato-galvan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881755072
PECOS PAC ID: 7517219629
Enrollment ID: I20181017001866

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Internal Medicine in Daly City, CA

Pediahealth Medical Group, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 901 Campus Dr, Suite 210, Daly City, CA 94015
Phone: 650-994-3000    
John W. Wilson, Md, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Sullivan Ave, Room 503, Daly City, CA 94015
Phone: 650-994-9090    Fax: 650-994-9093
Daly City Youth Hlth Ctr
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 350 90th Street, Daly City, CA 94015
Phone: 650-985-7000    Fax: 605-301-8626
Divya R Kini Md Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1500 Southgate Avenue, Divya Kini Md Inc Suite 204, Daly City, CA 94015
Phone: 650-755-2192    Fax: 650-745-0710
North East Medical Services - Eastmoor
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 211 Eastmoor Ave, Daly City, CA 94015
Phone: 415-391-9686    
Ellick Tsang M D Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1800 Sullivan Ave, Suite 304, Daly City, CA 94015
Phone: 650-992-8484    Fax: 650-992-8480
Medisina Sa Familia, Pa, Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1850 Sullivan Ave Ste 510, Daly City, CA 94015
Phone: 650-580-6479    Fax: 650-735-5580

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