Jack A Harris, MD is a medicare enrolled "Ophthalmology" physician in Toccoa, Georgia. His current practice location is
274 Big A Road, Toccoa, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 886-0421.
Jack A Harris is licensed to practice in Georgia (license number 29879) 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 1245223361.
Physician's Profile
| Full Name | Jack A Harris |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 274 Big A Road, Toccoa, Georgia |
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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: 1245223361
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 06/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 1355485988
- Enrollment ID: I20100222000048
Medical Identifiers
Medical identifiers for Jack A Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245223361 | NPI | - | NPPES |
| 335410959A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 29879 (Georgia) | 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. Jack A Harris allows following entities to bill medicare on his behalf.
| Entity Name | Toccoa Clinic Medical Associates, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609896885
PECOS PAC ID: 5597652164
Enrollment ID: O20040301000262 |
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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. Jack A 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 |
|---|
Jack A Harris, MD
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-0421 | Jack A Harris, MD
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-0421 |
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