Dr Tasha M Harris, MD is a medicare enrolled "Emergency Medicine" physician in St. John, Indiana. Her current practice location is
9660 Wicker Ave, St. John, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 365-7620.
Dr Tasha M Harris is licensed to practice in Indiana (license number 01056752A) 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 1033150792.
Physician's Profile
Full Name | Dr Tasha M Harris |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 9660 Wicker Ave, St. John, Indiana |
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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. |
Medical Education and Training:
- Dr Tasha M Harris attended and graduated from in
NPI Data:
- NPI Number: 1033150792
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 09/13/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tasha M Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033150792 | NPI | - | NPPES |
036103616 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036-103616 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 01056752A (Indiana) | 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 Tasha M 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 Tasha M Harris, MD 9660 Wicker Avenue, St. John, IN 46373-9487 Ph: (219) 365-7620 | Dr Tasha M Harris, MD 9660 Wicker Ave, St. John, IN 46373-9487 Ph: (219) 365-7620 |
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