Dr Charles Russell Harris Jr, MD is a medicare enrolled "Dermatology" physician in Forsyth, Georgia. His current practice location is
101 Martin Luther King Jr Dr, Forsyth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 994-5281.
Dr Charles Russell Harris Jr is licensed to practice in Georgia (license number 019692) 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 1073590410.
Physician's Profile
| Full Name | Dr Charles Russell Harris Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 101 Martin Luther King Jr Dr, Forsyth, Georgia |
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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 Charles Russell Harris Jr attended and graduated from in
NPI Data:
- NPI Number: 1073590410
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Charles Russell Harris Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073590410 | NPI | - | NPPES |
| 003136057 | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 019692 (Georgia) | Secondary |
| 207N00000X | Dermatology | 019692 (Georgia) | Primary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 019692 (Georgia) | Secondary |
| 208D00000X | General Practice | 019692 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 019692 (Georgia) | Secondary |
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 Charles Russell Harris Jr 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 Charles Russell Harris Jr, MD
2400 Bellevue Rd, Suite 21-a,
Dublin, GA 31021-2885
Ph: (478) 275-7202 | Dr Charles Russell Harris Jr, MD
101 Martin Luther King Jr Dr,
Forsyth, GA 31029-1698
Ph: (478) 994-5281 |
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