Harry Kourlis Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Canton, Ohio. His current practice location is
1330 Mercy Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 588-4676.
Harry Kourlis Jr is licensed to practice in Ohio (license number 35.122089) 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 1902865678.
Physician's Profile
| Full Name | Harry Kourlis Jr |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1330 Mercy Dr Nw, Canton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902865678
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133315294
- Enrollment ID: I20131210000989
Medical Identifiers
Medical identifiers for Harry Kourlis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902865678 | NPI | - | NPPES |
| 127405201 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | J2453 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 122089 (Ohio) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | E11786 (Arkansas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD60593168 (Washington) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 261617 (Massachusetts) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.122089 (Oregon) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.122089 (Ohio) | 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. Harry Kourlis Jr allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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| Entity Name | Mercy Professional Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902827876
PECOS PAC ID: 7416857198
Enrollment ID: O20040109000676 |
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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. Harry Kourlis Jr 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 |
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Harry Kourlis Jr, MD
9500 Euclid Ave,
Cleveland, OH 44195-0001
Ph: (214) 403-8006 | Harry Kourlis Jr, MD
1330 Mercy Dr Nw,
Canton, OH 44708-2626
Ph: (330) 588-4676 |
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