DR. WILLIAM HAZLE (MD) – Psychiatry Physician, NPI 1629039763

DR. WILLIAM HAZLE (MD) is a healthcare provider. based in Pocatello, Idaho. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. M-8594 (ID). The NPI Number for DR. WILLIAM HAZLE (MD) is 1629039763

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM HAZLE (MD)
NPI
1629039763
Phone
(972) 420-8345
Address
500 S 11TH AVE
Enumeration Date
29 March 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088474464
Graduation Year
1975 (51 years ago)
PAC ID
7113004219
Group Practice PAC ID
5395799860
Professional Enrollment ID
I20080414000064
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WILLIAM HAZLE (MD)

  • 500, South 11th Avenue, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832014835

    Phone: (972) 420-8345

    Fax: (972) 420-7770

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Provider's Procedures

DR. WILLIAM HAZLE (MD) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYID90792Psychiatric diagnostic evaluation with medical services1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395799860View full group profile
NameSpecialtyState
General SurgeryWY
Nurse PractitionerID
Orthopedic SurgeryKY
O B S T E T R I C S/ G Y N E C O L O G YWY
Nurse PractitionerID
Family PracticeCO
Physician AssistantUT
Nephrology, Internal MedicineUT
Clinical Social WorkerID
Physician AssistantCA

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Frequently asked questions

Does DR. WILLIAM HAZLE (MD) have a public NPI I can cite?
Public records show DR. WILLIAM HAZLE (MD) under NPI 1629039763.
Is DR. WILLIAM HAZLE (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. WILLIAM HAZLE (MD) as active.
What services align with DR. WILLIAM HAZLE (MD)'s listing?
DR. WILLIAM HAZLE (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. WILLIAM HAZLE (MD) in Pocatello, Idaho?
For routing, start with Pocatello, Idaho for DR. WILLIAM HAZLE (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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