Jeffery Willard Harris, CRNP in Decatur, AL - Medicare Nurse Practitioner

Jeffery Willard Harris, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Alabama. His current practice location is 68 Marco Dr, Decatur, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 973-5650.

Jeffery Willard Harris is licensed to practice in Alabama (license number 1-102763) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750005625.

Contact Information

	Jeffery Willard Harris, CRNP
	68 Marco Dr, Decatur, AL 35603-5425
	(256) 973-5650
	(256) 686-4936

Map and Direction

Provider's Profile

Full Name	Jeffery Willard Harris
Gender	Male
Speciality	Nurse Practitioner - Family
Location	68 Marco Dr, Decatur, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750005625
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0749652329
Enrollment ID: I20230208000185

Medical Identifiers

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

Identifier	Type	State	Issuer
1750005625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-102763 (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. Jeffery Willard Harris allows following entities to bill medicare on his behalf.

Entity Name	Decatur Morgan Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669889895 PECOS PAC ID: 2860715521 Enrollment ID: O20150105000645

Entity Name	Priceville Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407339328 PECOS PAC ID: 7416209598 Enrollment ID: O20181018000676

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. Jeffery Willard 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
Jeffery Willard Harris, CRNP 1201 7th St Se, Decatur, AL 35601-3337 Ph: (256) 973-2000	Jeffery Willard Harris, CRNP 68 Marco Dr, Decatur, AL 35603-5425 Ph: (256) 973-5650

Reviews and Comments

Nurse Practitioner Nurses in Decatur, AL

Charles Edward Fortenberry, R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362
Mrs. Natalie Mccay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Point Mallard Pkwy Se, Suite N, Decatur, AL 35603 Phone: 256-432-2822 Fax: 256-432-2825
Heather R Carter, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 14th Ave Se, Decatur, AL 35601 Phone: 256-355-6911
Mrs. Kami Elizabeth Whorton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1874 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-301-3207
Ranjanben B Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135
Megan Lynn Sanford, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603 Phone: 256-355-9040 Fax: 256-355-9048
Kimberly Lee Randolph, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2205 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-306-4000

Jeffery Willard Harris, CRNP - Medicare Nurse Practitioner in Decatur, AL