Juan-diego Harris, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Ogdensburg, New York. His current practice location is
3 Lyon Pl, Ogdensburg, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 394-7542.
Juan-diego Harris is licensed to practice in New York (license number 001531) 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 1306827654.
Physician's Profile
Full Name | Juan-diego Harris |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 3 Lyon Pl, Ogdensburg, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306827654
- Provider Enumeration Date: 11/11/2005
- Last Update Date: 12/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537191903
- Enrollment ID: I20050907000212
Medical Identifiers
Medical identifiers for Juan-diego Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306827654 | NPI | - | NPPES |
RB6019 | Other | NY | PTAN |
02375226 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | X001531-1 (New York) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 001531 (New York) | 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. Juan-diego 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 |
Juan-diego Harris, MD 3 Lyon Pl, Ogdensburg, NY 13669-2590 Ph: (315) 394-7542 | Juan-diego Harris, MD 3 Lyon Pl, Ogdensburg, NY 13669-2590 Ph: (315) 394-7542 |
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