Jacquline D Harris, in Tuskegee, AL - Medicare Nurse Practitioner

Jacquline D Harris, is a medicare enrolled "Nurse Practitioner - Family" in Tuskegee, Alabama. Her current practice location is 2400 Hospital Rd, Veterans Hospital, Tuskegee, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 727-0550.

Jacquline D Harris is licensed to practice in Alabama (license number F0816735) 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 1821538257.

Contact Information

	Jacquline D Harris,
	2400 Hospital Rd, Veterans Hospital, Tuskegee, AL 36083-5001
	(334) 727-0550
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquline D Harris
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2400 Hospital Rd, Tuskegee, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821538257
Provider Enumeration Date: 03/05/2017
Last Update Date: 03/05/2017

Medicare PECOS Information:

PECOS PAC ID: 0648681056
Enrollment ID: I20201116000896

Medical Identifiers

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

Identifier	Type	State	Issuer
1821538257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F0816735 (Alabama)	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. Jacquline D Harris allows following entities to bill medicare on her behalf.

Entity Name	American Family Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157

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. Jacquline 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 Address	Practice Location Address
Jacquline D Harris, Po Box 231652, Montgomery, AL 36123-1652 Ph: (334) 430-5107	Jacquline D Harris, 2400 Hospital Rd, Veterans Hospital, Tuskegee, AL 36083-5001 Ph: (334) 727-0550

Reviews and Comments

Nurse Practitioner Nurses in Tuskegee, AL

Walter Tanner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Wright St, Tuskegee, AL 36083 Phone: 334-727-5900 Fax: 334-727-5909
Ms. Shannon L Crews, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550
Ms. Peggy J. Hall, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550
Mr. Chancey Perico Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550
Miss Angelia Elaine Clayton, CERTIFIED NURSE PRAC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550 Fax: 334-727-2508
Ms. Brenda G Moon, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd # 62-221, Tuskegee, AL 36083 Phone: 334-727-0550 Fax: 334-724-6858
Latashia Jones, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550

Jacquline D Harris, - Medicare Nurse Practitioner in Tuskegee, AL