Carolyn M Harris, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lizton, Indiana. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hendricks County Hospital and her current practice location is
1045 Wyatt Way, Lizton, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 994-6600.
Carolyn M Harris is licensed to practice in Indiana (license number 71002313A) 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 1871644278.
Provider's Profile
Full Name | Carolyn M Harris |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 18 Years |
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Location | 1045 Wyatt Way, Lizton, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carolyn M Harris graduated from nursing school in 2006
NPI Data:
- NPI Number: 1871644278
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 03/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850651233
- Enrollment ID: I20180202001003
Medical Identifiers
Medical identifiers for Carolyn M Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871644278 | NPI | - | NPPES |
100419730 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LC1500X | Nurse Practitioner - Community Health | 28144501A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71002313A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hendricks County Hospital | 4880505528 | 270 |
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. Carolyn M Harris allows following entities to bill medicare on her behalf.
Entity Name | Hendricks County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063411551 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
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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. Carolyn M 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 |
Carolyn M Harris, FNP 652 W County Road 200 N, Danville, IN 46122-9126 Ph: (317) 718-7110 | Carolyn M Harris, FNP 1045 Wyatt Way, Lizton, IN 46149-9583 Ph: (317) 994-6600 |
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