Dr Mitchell Wayne Harris, PHD is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. His current practice location is
5965 S 900 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(888) 949-4864.
Dr Mitchell Wayne Harris is licensed to practice in Utah (license number 9187581-2501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053619585.
Healthcare Provider's Profile
| Full Name | Dr Mitchell Wayne Harris |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 5965 S 900 E, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mitchell Wayne Harris attended and graduated from in
NPI Data:
- NPI Number: 1053619585
- Provider Enumeration Date: 03/08/2011
- Last Update Date: 12/13/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mitchell Wayne Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053619585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 9187581-2501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mitchell Wayne Harris is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mitchell Wayne Harris, PHD
750 N Freedom Blvd,
Provo, UT 84601-1677
Ph: (801) 373-4760 | Dr Mitchell Wayne Harris, PHD
5965 S 900 E,
Salt Lake City, UT 84121-1720
Ph: (888) 949-4864 |
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