Mark Hampton Harris, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Elkin, North Carolina. His current practice location is
180 Parkwood Dr, Elkin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 527-7472.
Mark Hampton Harris is licensed to practice in North Carolina (license number 101659) 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 1134189517.
Physician's Profile
Full Name | Mark Hampton Harris |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 180 Parkwood Dr, Elkin, North Carolina |
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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: 1134189517
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456312453
- Enrollment ID: I20041022000792
Medical Identifiers
Medical identifiers for Mark Hampton Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134189517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 101659 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 101659 (North Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | 101659 (North Carolina) | 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. Mark Hampton 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 |
Mark Hampton Harris, PA-C 2654 Vienna Dozier Rd, Pfafftown, NC 27040-8457 Ph: (336) 945-4130 | Mark Hampton Harris, PA-C 180 Parkwood Dr, Elkin, NC 28621-2430 Ph: (336) 527-7472 |
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