JESSICA BENESCH HAZEN D.O.
NPI 1194998419
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment
27 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119(215) 248-6826 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1194998419
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA BENESCH HAZENCredential: D.O.
Location Address27 E MOUNT AIRY AVEPhiladelphia, PA 19119-1713
Mailing Address27 E Mount Airy AvePhiladelphia, PA 19119-1713
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2008
Enumeration DateApril 8, 2008
Last NPPES UpdateNovember 30, 2021
NPI 1194998419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27 E MOUNT AIRY AVE, Philadelphia, PA 19119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4587829577
PECOS Enrollment IDI20131127001701
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Clinic/Center
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Psychiatry & Neurology (Psychiatry)
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Counselor (Professional)
27 E MOUNT AIRY AVE
PHILA, PA 19119
Nurse Practitioner (Adult Health)
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Case Management
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Psychoanalyst
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119
Case Management
27 E MOUNT AIRY AVE
PHILADELPHIA, PA 19119

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.

When was this NPI record last updated?

The NPPES record for Jessica Hazen was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.