Blair Walter Harris, DO - Medicare Dermatology in Leland, NC

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Blair Walter Harris, DO is a medicare enrolled "Dermatology" physician in Leland, North Carolina. His current practice location is 509 Olde Waterford Way Ste 103, Leland, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 631-0301.

Blair Walter Harris is licensed to practice in North Carolina (license number 2022-02190) 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 1376001479.

Contact Information

Blair Walter Harris, DO
509 Olde Waterford Way Ste 103,
Leland, NC 28451-4126
(910) 631-0301
(910) 292-1230

Map and Direction




Physician's Profile

Full NameBlair Walter Harris
GenderMale
SpecialityDermatology
Location509 Olde Waterford Way Ste 103, Leland, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376001479
  • Provider Enumeration Date: 03/07/2019
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981074226
  • Enrollment ID: I20230103002185

Medical Identifiers

Medical identifiers for Blair Walter Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376001479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 2022-02190 (North Carolina)Secondary
207N00000XDermatology 2022-02190 (North Carolina)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. Blair Walter Harris allows following entities to bill medicare on his behalf.
Entity NameSouthern Dermatology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415586
PECOS PAC ID: 7012971609
Enrollment ID: O20041113000271
Entity NameIntracoastal Dermatology And Skin Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871375055
PECOS PAC ID: 3678924693
Enrollment ID: O20240103004647

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. Blair Walter 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 AddressPractice Location Address
Blair Walter Harris, DO
509 Olde Waterford Way Ste 103,
Leland, NC 28451-4126

Ph: (910) 631-0301		Blair Walter Harris, DO
509 Olde Waterford Way Ste 103,
Leland, NC 28451-4126

Ph: (910) 631-0301

Reviews and Comments


Dermatology Doctors in Leland, NC

Thomas J Braza, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 144 Poole Rd Ste 101, Leland, NC 28451
Phone: 910-640-0899    Fax: 910-256-6039

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.