Nicole D Harris, MD - Medicare Family Practice in Jacksonville, FL

Nicole D Harris, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. She went to University Of Louisville School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kelsey-seybold Medical Group, Pllc and her current practice location is 1660 Prudential Dr Ste 400, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 396-0000.

Nicole D Harris is licensed to practice in Florida (license number ME109239) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306000708.

Contact Information

Nicole D Harris, MD
1660 Prudential Dr Ste 400,
Jacksonville, FL 32207-8188
(904) 396-0000
(904) 396-5206

Map and Direction




Physician's Profile

Full NameNicole D Harris
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location1660 Prudential Dr Ste 400, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole D Harris attended and graduated from University Of Louisville School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1306000708
  • Provider Enumeration Date: 07/15/2008
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527239540
  • Enrollment ID: I20230126000036

Medical Identifiers

Medical identifiers for Nicole D Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306000708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TRN 10313 (Florida)Secondary
207Q00000XFamily Medicine U0128 (Texas)Secondary
207Q00000XFamily Medicine ME109239 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kelsey-seybold Medical Group, Pllc9739093527614

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. Nicole D Harris allows following entities to bill medicare on her behalf.
Entity NameKelsey-seybold Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204
Entity NameTrumen Physicians And Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134442320
PECOS PAC ID: 7618006883
Enrollment ID: O20100526000535

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. Nicole D 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 AddressPractice Location Address
Nicole D Harris, MD
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298

Ph: (713) 442-0000
Nicole D Harris, MD
1660 Prudential Dr Ste 400,
Jacksonville, FL 32207-8188

Ph: (904) 396-0000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.