Bonnie Harris, FNP in Portland, TX - Medicare Nurse Practitioner

Bonnie Harris, FNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Portland, Texas. Her current practice location is 1500 Wildcat Dr Ste C, Portland, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 643-9800.

Bonnie Harris is licensed to practice in Texas (license number 1088590) 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 1740916808.

Contact Information

	Bonnie Harris, FNP
	1500 Wildcat Dr Ste C, Portland, TX 78374-2826
	(361) 643-9800
	(361) 643-5112

Map and Direction

Provider's Profile

Full Name	Bonnie Harris
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1500 Wildcat Dr Ste C, Portland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740916808
Provider Enumeration Date: 07/29/2022
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0446697098
Enrollment ID: I20240319002476

Medical Identifiers

Medical identifiers for Bonnie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740916808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	1088590 (Texas)	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. Bonnie Harris allows following entities to bill medicare on her behalf.

Entity Name	Coastal Children's Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164471116 PECOS PAC ID: 1759370570 Enrollment ID: O20040507000755

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. Bonnie 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
Bonnie Harris, FNP 1500 Wildcat Dr Ste C, Portland, TX 78374-2826 Ph: (361) 643-9800	Bonnie Harris, FNP 1500 Wildcat Dr Ste C, Portland, TX 78374-2826 Ph: (361) 643-9800

Reviews and Comments

Nurse Practitioner Nurses in Portland, TX

Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 616 Elm St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137
Marka Jane Dredla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 277 Buddy Ganem Dr Ste A, Portland, TX 78374 Phone: 361-777-3900 Fax: 361-413-0274
Matthew Kern, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334
Mrs. Gloria Perales Solis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112
Kerrie Hogin Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546
Karen Laskowski, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Buddy Ganem Dr, Portland, TX 78374 Phone: 361-777-3900

Bonnie Harris, FNP - Medicare Nurse Practitioner in Portland, TX