Kashondra Denae Harris, FNP in Riverdale, GA - Medicare Nurse Practitioner

Kashondra Denae Harris, FNP is a medicare enrolled "Nurse Practitioner - Family" in Riverdale, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Medical And Urgent Care Clinic Of Mcdonough, Llc and her current practice location is 217 Medical Way, Riverdale, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 991-9227.

Kashondra Denae Harris is licensed to practice in Georgia (license number RN220216) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104458751.

Contact Information

	Kashondra Denae Harris, FNP
	217 Medical Way, Riverdale, GA 30274-2522
	(770) 991-9227
	Not Available

Map and Direction

Provider's Profile

Full Name	Kashondra Denae Harris
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	217 Medical Way, Riverdale, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kashondra Denae Harris graduated from nursing school in 2019

NPI Data:

NPI Number: 1104458751
Provider Enumeration Date: 02/11/2020
Last Update Date: 02/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7416369541
Enrollment ID: I20201215001298

Medical Identifiers

Medical identifiers for Kashondra Denae Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104458751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN220216 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Medical And Urgent Care Clinic Of Mcdonough, Llc	7113054131	17

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. Kashondra Denae Harris allows following entities to bill medicare on her behalf.

Entity Name	Family Medical And Urgent Care Clinic Of Mcdonough, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043440530 PECOS PAC ID: 7113054131 Enrollment ID: O20100423000172

Entity Name	Georgia Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316

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. Kashondra Denae 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
Kashondra Denae Harris, FNP 1784 Fielding Way, Hampton, GA 30228-6398 Ph: (478) 719-2286	Kashondra Denae Harris, FNP 217 Medical Way, Riverdale, GA 30274-2522 Ph: (770) 991-9227

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, GA

Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869

Kashondra Denae Harris, FNP - Medicare Nurse Practitioner in Riverdale, GA