Kimberly Dawn Harrison, DO is a medicare enrolled "Pediatrics" physician in Coweta, Oklahoma. Her current practice location is
30011 E State Highway 51, Coweta, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 486-2161.
Kimberly Dawn Harrison is licensed to practice in Oklahoma (license number 7354) 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 1447887997.
Physician's Profile
Full Name | Kimberly Dawn Harrison |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 30011 E State Highway 51, Coweta, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447887997
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628438173
- Enrollment ID: I20230717001312
Medical Identifiers
Medical identifiers for Kimberly Dawn Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447887997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 7354 (Oklahoma) | 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. Kimberly Dawn Harrison allows following entities to bill medicare on her behalf.
Entity Name | Warren Clinic Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
---|
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. Kimberly Dawn Harrison 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 |
Kimberly Dawn Harrison, DO 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (888) 247-0125 | Kimberly Dawn Harrison, DO 30011 E State Highway 51, Coweta, OK 74429-7681 Ph: (918) 486-2161 |
Reviews and Comments