Mallory E Harris, PA is a medicare enrolled "Physician Assistant - Medical" in Independence, Kansas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Four County Mental Health Center, Inc. and her current practice location is
3751 W Main St, Independence, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 331-1748.
Mallory E Harris is licensed to practice in Kansas (license number 15-01717) 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 1033519830.
Provider's Profile
| Full Name | Mallory E Harris |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 3751 W Main St, Independence, Kansas |
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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. |
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Medical Education and Training:
- Mallory E Harris graduated from nursing school in 2014
NPI Data:
- NPI Number: 1033519830
- Provider Enumeration Date: 08/28/2014
- Last Update Date: 02/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 7416177829
- Enrollment ID: I20141007002323
Medical Identifiers
Medical identifiers for Mallory E Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033519830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 15-01717 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Four County Mental Health Center, Inc. | 7012904071 | 14 |
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. Mallory E 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 |
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Mallory E Harris, PA
Po Box 688,
Independence, KS 67301-0688
Ph: () - | Mallory E Harris, PA
3751 W Main St,
Independence, KS 67301-8446
Ph: (620) 331-1748 |
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