Carole Lynn Harris, NP in El Cajon, CA - Medicare Nurse Practitioner

Carole Lynn Harris, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in El Cajon, California. Her current practice location is 250 Travelodge Dr, Ob/gyn, El Cajon, California. You can reach out to her office (for appointments etc.) via phone at (800) 290-5000.

Carole Lynn Harris is licensed to practice in California (license number 21973) 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 1770839334.

Contact Information

	Carole Lynn Harris, NP
	250 Travelodge Dr, Ob/gyn, El Cajon, CA 92020-4126
	(800) 290-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Carole Lynn Harris
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	250 Travelodge Dr, El Cajon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770839334
Provider Enumeration Date: 07/31/2012
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4688999378
Enrollment ID: I20150223000696

Medical Identifiers

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

Identifier	Type	State	Issuer
1770839334	NPI	-	NPPES
21973	Other	CA	NURSE PRACTITIONER NUMBER
21973	Other	CA	FURNISHING NUMBER
632657	Other	CA	RN LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	21973 (California)	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. Carole Lynn Harris allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Carole Lynn 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
Carole Lynn Harris, NP 250 Travelodge Dr, Ob/gyn, El Cajon, CA 92020-4126 Ph: (800) 290-5000	Carole Lynn Harris, NP 250 Travelodge Dr, Ob/gyn, El Cajon, CA 92020-4126 Ph: (800) 290-5000

Reviews and Comments

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Deomel M Soriano, PMHNP-BC, RN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 W Madison Ave Ste 2, El Cajon, CA 92020 Phone: 619-334-7542 Fax: 619-938-2568

Carole Lynn Harris, NP - Medicare Nurse Practitioner in El Cajon, CA