Dr Amanda Nicole Harris, FNP-BC is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in San Francisco, California. Her current practice location is
550 Bryant St Ste 1a, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 513-1222.
Dr Amanda Nicole Harris is licensed to practice in California (license number 95015977) 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 1871199547.
Provider's Profile
| Full Name | Dr Amanda Nicole Harris |
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| Gender | Female |
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| Speciality | Family Medicine - Hospice And Palliative Medicine |
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| Location | 550 Bryant St Ste 1a, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871199547
- Provider Enumeration Date: 12/08/2020
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698189546
- Enrollment ID: I20210210003048
Medical Identifiers
Medical identifiers for Dr Amanda Nicole Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871199547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95015977 (California) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 95015977 (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. Dr Amanda Nicole Harris allows following entities to bill medicare on her behalf.
| Entity Name | Hospice Of Humboldt, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619015393
PECOS PAC ID: 5193999415
Enrollment ID: O20181107001488 |
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| Entity Name | Caremore Health Plan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386048429
PECOS PAC ID: 6406170067
Enrollment ID: O20190221000529 |
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| Entity Name | Pine Park Health, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346879848
PECOS PAC ID: 0345670527
Enrollment ID: O20200501001068 |
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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. Dr Amanda Nicole 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 |
|---|
Dr Amanda Nicole Harris, FNP-BC
550 Bryant St Ste 1a,
San Francisco, CA 94107-1217
Ph: (415) 513-1222 | Dr Amanda Nicole Harris, FNP-BC
550 Bryant St Ste 1a,
San Francisco, CA 94107-1217
Ph: (415) 513-1222 |
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