Dr David J Harris, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Boston, Massachusetts. His current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 355-6394.
Dr David J Harris is licensed to practice in Massachusetts (license number 158242) 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 1770546855.
Physician's Profile
| Full Name | Dr David J Harris |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 300 Longwood Ave, Boston, Massachusetts |
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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: 1770546855
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 08/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355302886
- Enrollment ID: I20041019000831
Medical Identifiers
Medical identifiers for Dr David J Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770546855 | NPI | - | NPPES |
| 108138 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 158242 (Massachusetts) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 158242 (Massachusetts) | 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 David J Harris allows following entities to bill medicare on his behalf.
| Entity Name | Children's Hospital Pediatric Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964 |
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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 David J 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 David J Harris, MD
58 Kingswood Rd,
Auburndale, MA 02466-1013
Ph: (617) 244-5901 | Dr David J Harris, MD
300 Longwood Ave,
Boston, MA 02115-5724
Ph: (617) 355-6394 |
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