JESSICA BENESCH HAZEN D.O.
NPI 1194998419
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Jessica Benesch Hazen D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA BENESCH HAZEN D.O. (NPI 1194998419) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Benesch Hazen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Hazen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1225060742 (California)
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Hazen's NPI number?
The NPI number for Jessica Hazen is 1194998419. It was assigned to this individual provider in the NPPES registry on April 8, 2008.
Where is Jessica Hazen located?
Jessica Hazen practices at 27 E Mount Airy Ave, Philadelphia, PA 19119. The listed phone number is (215) 248-6826.
What is Jessica Hazen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jessica Hazen enrolled in Medicare?
Yes. Jessica Hazen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Hazen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hazen reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Hazen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Hazen was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Benesch Hazen, D.O. · NPI 1194998419
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 8, 2008.
## Identity
- **NPI:** 1194998419 (Entity type: Individual)
- **Enumerated:** April 8, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 27 E MOUNT AIRY AVE, Philadelphia, PA 19119-1713
- **Phone:** (215) 248-6826
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 2008
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194998419) · Data from the CMS NPPES public registry.