Jacquelynn Carol Harris, DO in Newberg, OR

Jacquelynn Carol Harris, DO is a medicare enrolled "Family Medicine" physician in Newberg, Oregon. Her current practice location is 901 Brutscher St, D163, Newberg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 625-9190.

Jacquelynn Carol Harris is licensed to practice in Oregon (license number DO29050) 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 1336236868.

Contact Information

	Jacquelynn Carol Harris, DO
	901 Brutscher St, D163, Newberg, OR 97132-6096
	(503) 625-9190
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacquelynn Carol Harris
Gender	Female
Speciality	Family Medicine
Location	901 Brutscher St, Newberg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336236868
Provider Enumeration Date: 10/06/2006
Last Update Date: 12/11/2015

Medicare PECOS Information:

PECOS PAC ID: 6305730151
Enrollment ID: I20101115001380

Medical Identifiers

Medical identifiers for Jacquelynn Carol Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336236868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	K3747 (Texas)	Secondary
207Q00000X	Family Medicine	DO29050 (Oregon)	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. Jacquelynn Carol Harris allows following entities to bill medicare on her behalf.

Entity Name	Northwest Medical Foundation Of Tillamook
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676

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. Jacquelynn Carol 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
Jacquelynn Carol Harris, DO 901 Brutscher St, D163, Newberg, OR 97132-6096 Ph: (503) 625-9190	Jacquelynn Carol Harris, DO 901 Brutscher St, D163, Newberg, OR 97132-6096 Ph: (503) 625-9190

Reviews and Comments

Family Medicine Doctors in Newberg, OR

Dr. John L Cummings, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 Villa Rd, Newberg, OR 97132 Phone: 503-538-4544 Fax: 503-538-9257
Jaecelle Guadiz Galeniece, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5959
Chelsea Deselms, APRN, FNP-C, CFMP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 N. Main St., Newberg, OR 97132 Phone: 503-476-1431 Fax: 855-247-1666
Jeremy S. Swindle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Providence Dr Ste 210, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5900
Dr. Spencer James Chun, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2880 Hayes St., Newberg Urgent Care, Newberg, OR 97132 Phone: 503-537-9600 Fax: 503-537-0105
Dr. Robert Jerome Mcqueen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2880 Hayes St, Newberg, OR 97132 Phone: 503-537-9600 Fax: 503-537-0105
Dr. William Merrill Bailey, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 308 Villa Road Ste 114, Newberg, OR 97132 Phone: 503-538-9431 Fax: 503-538-2358

Jacquelynn Carol Harris, DO - Medicare Family Medicine in Newberg, OR