Dr Ethan Daniel Harris, MD is a
Family Medicine physician based in Fpo, Ap, California. Dr Ethan Daniel Harris is licensed to practice in Minnesota (license number 68267) and his current practice location is Psc 482, Fpo, Ap, California. He can be reached at his office (for appointments etc.) via phone at
(315) 646-7037.
NPI number for Dr Ethan Daniel Harris is 1881188563 and his current mailing address is 200 Mercy Cir, Oceanside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881188563.
Physician's Profile
| Full Name | Dr Ethan Daniel Harris |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Psc 482, Fpo, Ap, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881188563
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 05/17/2022
Medical Identifiers
Medical identifiers for Dr Ethan Daniel Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881188563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 68267 (Minnesota) | Primary |
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 Ethan Daniel Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ethan Daniel Harris, MD
200 Mercy Cir,
Oceanside, CA 92055
Ph: (760) 725-1288 | Dr Ethan Daniel Harris, MD
Psc 482,
Fpo, Ap, CA 96362
Ph: (315) 646-7037 |
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