Michele A Hazzouri


Address: 937 Hickory St, Scranton, PA 18505-2181
Phone: 5703465331

Michele A Hazzouri (NPI# 1689656936, PAC ID# 8820280795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1689656936
PAC ID by PECOS 8820280795
Professional Enrollment ID I20101011000434
Full Name Michele A Hazzouri
Address 937 Hickory St
Scranton
PA 18505-2181
Phone Number 5703465331
Gender F
Graduation Year 1977
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390001 GEISINGER-COMMUNITY MEDICAL CENTER
390119 MOSES TAYLOR HOSPITAL
390237 REGIONAL HOSPITAL OF SCRANTON
390137 WILKES-BARRE GENERAL HOSPITAL
390270 GEISINGER WYOMING VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
937 Hickory St, Scranton, PA 18505-2181 5703465331

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_113_overall Colorectal Cancer Screening 100%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 937 HICKORY ST
City SCRANTON
State PA
Zip 18505-2181

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Kelly Marie Pidgeon Physician Assistant Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Aunisha V Desai Physician Assistant Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Samipkumar Patel Physician Assistant Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Amanda Lee Crambo Nurse Practitioner Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Erika L Black Nurse Practitioner Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Tara Ann Cywinski Nurse Practitioner Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Corinna Jay Kirkpatrick Physician Assistant Lake Scranton Urgent Care LLC 1141 Moosic St, Suite 3, Scranton, PA 18505-2105
Find all physicians in zip 18505

Competitor

Search similar physicians

City SCRANTON
Zip Code 18505
Specialty INTERNAL MEDICINE
City + Specialty SCRANTON + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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