Khadidja Latise Harrell, MD in Seattle, WA

Khadidja Latise Harrell, MD is a medicare enrolled "Pediatrics" physician in Seattle, Washington. Her current practice location is 4800 Sand Point Way Ne, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 987-2000.

Khadidja Latise Harrell is licensed to practice in Washington (license number 60935910) 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 1013174218.

Contact Information

	Khadidja Latise Harrell, MD
	4800 Sand Point Way Ne, Seattle, WA 98105-3901
	(206) 987-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Khadidja Latise Harrell
Gender	Female
Speciality	Pediatrics
Location	4800 Sand Point Way Ne, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013174218
Provider Enumeration Date: 05/16/2008
Last Update Date: 11/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9335574979
Enrollment ID: I20200108003110

Medical Identifiers

Medical identifiers for Khadidja Latise Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013174218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60935910 (Washington)	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. Khadidja Latise Harrell allows following entities to bill medicare on her behalf.

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

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. Khadidja Latise Harrell 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
Khadidja Latise Harrell, MD 1255 Harrison St Apt 658, Seattle, WA 98109-6024 Ph: (808) 745-7109	Khadidja Latise Harrell, MD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2000

Reviews and Comments

Pediatrics Doctors in Seattle, WA

Dr. James Toliver Bennett Jr., M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105 Phone: 206-987-2056
Dr. Leslie Ann Dervan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105 Phone: 206-987-0293
Dr. Indi Trehan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000
Isabelle Maria Kiefaber, Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525
Alexa Mason, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2671 Ne 46th St, Seattle, WA 98105 Phone: 206-525-8000 Fax: 206-525-8070
Dr. Gloria A. Arand, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 16th Ave E, Seattle, WA 98112 Phone: 206-326-3530
Marcella Theresia Mascher Denen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065

Khadidja Latise Harrell, MD - Medicare Pediatrics in Seattle, WA