Dr Jacqueline Lee Harrison, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chicago, Illinois. Her current practice location is
1969 W Ogden Ave, Dept. Of Surgery, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 996-9336.
Dr Jacqueline Lee Harrison is licensed to practice in Illinois (license number 036-097361) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215952536.
Physician's Profile
| Full Name | Dr Jacqueline Lee Harrison |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1969 W Ogden Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. She 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 Jacqueline Lee Harrison attended and graduated from in
NPI Data:
- NPI Number: 1215952536
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jacqueline Lee Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215952536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 036-097361 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036-097361 (Illinois) | 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 Jacqueline Lee Harrison 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 Jacqueline Lee Harrison, MD
840 S Wood St, Dept. Of Surgery - Mc 958,
Chicago, IL 60612-4325
Ph: (312) 996-9936 | Dr Jacqueline Lee Harrison, MD
1969 W Ogden Ave, Dept. Of Surgery,
Chicago, IL 60612-3765
Ph: (312) 996-9336 |
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