Dr Gary Wayne Harris, DDS is a medicare enrolled "Dentist - General Practice" provider in Salisbury, Missouri. His current practice location is
307 S Broadway, Salisbury, Missouri. You can reach out to his office (for appointments etc.) via phone at
(844) 853-8937.
Dr Gary Wayne Harris is licensed to practice in Missouri (license number 014164) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194849497.
Healthcare Provider's Profile
| Full Name | Dr Gary Wayne Harris |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 307 S Broadway, Salisbury, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194849497
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123339231
- Enrollment ID: I20171025001965
Medical Identifiers
Medical identifiers for Dr Gary Wayne Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194849497 | NPI | - | NPPES |
| 404040602 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 014164 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gary Wayne Harris allows following entities to bill medicare on his behalf.
| Entity Name | Compass Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955 |
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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 Gary 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 Gary Wayne Harris, DDS
1800 Community,
Clinton, MO 64735-8804
Ph: (660) 885-8131 | Dr Gary Wayne Harris, DDS
307 S Broadway,
Salisbury, MO 65281-1037
Ph: (844) 853-8937 |
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