Dr Towanda Shanta Harris, MD in Peoria, IL

Dr Towanda Shanta Harris, MD is a medicare enrolled "Family Medicine" physician in Peoria, Illinois. Her current practice location is 2321 N Wisconsin Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 680-7600.

Dr Towanda Shanta Harris is licensed to practice in Illinois (license number 036.115533) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871507939.

Contact Information

	Dr Towanda Shanta Harris, MD
	2321 N Wisconsin Ave, Peoria, IL 61603-5613
	(309) 680-7600
	(309) 681-4681

Map and Direction

Physician's Profile

Full Name	Dr Towanda Shanta Harris
Gender	Female
Speciality	Family Medicine
Location	2321 N Wisconsin Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871507939
Provider Enumeration Date: 07/27/2006
Last Update Date: 10/26/2017

Medicare PECOS Information:

PECOS PAC ID: 5698772614
Enrollment ID: I20161114000573

Medical Identifiers

Medical identifiers for Dr Towanda Shanta Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871507939	NPI	-	NPPES
036-115533	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036.115533 (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 Towanda Shanta 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 Towanda Shanta Harris, MD 2214 N University St, Peoria, IL 61604-3221 Ph: (309) 680-7669	Dr Towanda Shanta Harris, MD 2321 N Wisconsin Ave, Peoria, IL 61603-5613 Ph: (309) 680-7600

Reviews and Comments

Family Medicine Doctors in Peoria, IL

Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339

Dr Towanda Shanta Harris, MD - Medicare Family Medicine in Peoria, IL