Juan-diego Harris, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Ogdensburg, New York. Juan-diego Harris is licensed to practice in New York (license number 001531) and his current practice location is 3 Lyon Pl, Ogdensburg, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 394-7542.
NPI number for Juan-diego Harris is 1306827654 and his current mailing address is 3 Lyon Pl, Ogdensburg, New York. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306827654
- Provider Enumeration Date: 11/11/2005
- Last Update Date: 12/12/2019
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
NOT enrolled with medicare and thus cannot 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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