Abdul Kezin Harris, MD in Santa Rosa, CA - Medicare General Surgery

Abdul Kezin Harris, MD is a medicare enrolled "Surgery" physician in Santa Rosa, California. He went to University Of California, Davis School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Saint Agnes Medical Foundation and his current practice location is 1701 4th St, Ste 200, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 579-2100.

Abdul Kezin Harris is licensed to practice in California (license number A61120) 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 1396859393.

Contact Information

	Abdul Kezin Harris, MD
	1701 4th St, Ste 200, Santa Rosa, CA 95404-3601
	(707) 579-2100
	(707) 523-0616

Map and Direction

Physician's Profile

Full Name	Abdul Kezin Harris
Gender	Male
Speciality	General Surgery
Experience	29 Years
Location	1701 4th St, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abdul Kezin Harris attended and graduated from University Of California, Davis School Of Medicine in 1995

NPI Data:

NPI Number: 1396859393
Provider Enumeration Date: 08/18/2006
Last Update Date: 02/07/2012

Medicare PECOS Information:

PECOS PAC ID: 6406933845
Enrollment ID: I20080409000265

Medical Identifiers

Medical identifiers for Abdul Kezin Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396859393	NPI	-	NPPES
P00469231	Other	CA	RR MEDICARE
1396859393	Medicaid	CA
00A611200	Other	CA	BS OF CALIFORNIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A61120 (California)	Primary
2086S0127X	Surgery - Trauma Surgery	A61120 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Agnes Medical Center	Fresno, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Agnes Medical Foundation	7618946369	146

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. Abdul Kezin Harris allows following entities to bill medicare on his behalf.

Entity Name	Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177

Entity Name	Saint Agnes Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669

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. Abdul Kezin 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
Abdul Kezin Harris, MD 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 Ph: (707) 575-6049	Abdul Kezin Harris, MD 1701 4th St, Ste 200, Santa Rosa, CA 95404-3601 Ph: (707) 579-2100

Reviews and Comments

Surgery Doctors in Santa Rosa, CA

Dr. Sabrina Ann Kidd, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
George M. Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Lucinda Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Elizabeth A Peralta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403 Phone: 707-521-8900 Fax: 707-523-1309
Brian Frederick Schmidt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 4th St, Ste 200, Santa Rosa, CA 95404 Phone: 707-579-2100 Fax: 707-523-0616
Brett J Schulte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St Ste 201, Santa Rosa, CA 95405 Phone: 707-579-2100 Fax: 707-523-0616
Keith Forrest Korver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403 Phone: 707-569-7860 Fax: 707-545-5408

Abdul Kezin Harris, MD - Medicare General Surgery in Santa Rosa, CA