Dr Mark Jan Harrison, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in North Potomac, Maryland. His current practice location is
13536 Travilah Rd, North Potomac, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 977-6784.
Dr Mark Jan Harrison is licensed to practice in Maryland (license number D0064056) 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 1134135098.
Physician's Profile
Full Name | Dr Mark Jan Harrison |
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Gender | Male |
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Speciality | Obstetrics & Gynecology - Gynecology |
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Location | 13536 Travilah Rd, North Potomac, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134135098
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 11/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 2163520644
- Enrollment ID: I20111121000154
Medical Identifiers
Medical identifiers for Dr Mark Jan Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134135098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | D0064056 (Maryland) | 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 Mark Jan Harrison allows following entities to bill medicare on his behalf.
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356304034 PECOS PAC ID: 0143128009 Enrollment ID: O20031230000251 |
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Entity Name | Obhg California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
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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 Mark Jan 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 Mark Jan Harrison, MD 13536 Travilah Rd, North Potomac, MD 20878-3847 Ph: (301) 977-6784 | Dr Mark Jan Harrison, MD 13536 Travilah Rd, North Potomac, MD 20878-3847 Ph: (301) 977-6784 |
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