Neely Taylor Rose Harris, MD in Mattoon, IL

Neely Taylor Rose Harris, MD is a medicare enrolled "Pediatrics" physician in Mattoon, Illinois. Her current practice location is 1005 Health Center Dr Ste 100, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-4006.

Neely Taylor Rose Harris is licensed to practice in Illinois (license number 036-166678) 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 1962029579.

Contact Information

	Neely Taylor Rose Harris, MD
	1005 Health Center Dr Ste 100, Mattoon, IL 61938-4637
	(217) 258-4006
	(217) 258-4120

Map and Direction

Physician's Profile

Full Name	Neely Taylor Rose Harris
Gender	Female
Speciality	Pediatrics
Location	1005 Health Center Dr Ste 100, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962029579
Provider Enumeration Date: 06/30/2020
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0042667388
Enrollment ID: I20231108002779

Medical Identifiers

Medical identifiers for Neely Taylor Rose Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962029579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2020018778 (Missouri)	Secondary
208000000X	Pediatrics	036-166678 (Illinois)	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. Neely Taylor Rose Harris allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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. Neely Taylor Rose 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
Neely Taylor Rose Harris, MD Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 868-2812	Neely Taylor Rose Harris, MD 1005 Health Center Dr Ste 100, Mattoon, IL 61938-4637 Ph: (217) 258-4006

Reviews and Comments

Pediatrics Doctors in Mattoon, IL

Dr. David R Knox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904
Roza Ioffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120
Rachel T Lape, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Richmond Ave E Ste 4, Mattoon, IL 61938 Phone: 217-238-5345 Fax: 217-238-5348
Mrs. Amy J Leifheit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120
Dr. Nafees Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900
Ivan T. Snowden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Drive, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120
Kiran Kumar Yelakanti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-7590 Fax: 217-258-3686

Neely Taylor Rose Harris, MD - Medicare Pediatrics in Mattoon, IL