Michael Jeffrey Harrison, is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Portage, Michigan. His current practice location is
3801 Glenkerry Ct Ste 2, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 323-1527.
Michael Jeffrey Harrison is licensed to practice in Michigan (license number 2901601232) 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 1972006914.
Healthcare Provider's Profile
| Full Name | Michael Jeffrey Harrison |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 3801 Glenkerry Ct Ste 2, Portage, Michigan |
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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: 1972006914
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103175807
- Enrollment ID: I20221004003027
Medical Identifiers
Medical identifiers for Michael Jeffrey Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972006914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TEMPORARY (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2901601232 (Michigan) | 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. Michael Jeffrey Harrison allows following entities to bill medicare on his behalf.
| Entity Name | Kalamazoo Oral & Maxillofacial Surgery Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265522262
PECOS PAC ID: 5092994384
Enrollment ID: O20110119000228 |
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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. Michael Jeffrey Harrison 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 |
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Michael Jeffrey Harrison,
3801 Glenkerry Ct Ste 2,
Portage, MI 49024-0711
Ph: () - | Michael Jeffrey Harrison,
3801 Glenkerry Ct Ste 2,
Portage, MI 49024-0711
Ph: (269) 323-1527 |
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