Mr Ryan Keith Harris, PA-C is a medicare enrolled "Physician Assistant" in Andalusia, Alabama. His current practice location is
849 S Three Notch St, Andalusia, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 222-8466.
Mr Ryan Keith Harris is licensed to practice in Alabama (license number PA.1574) 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 1801363601.
Provider's Profile
Full Name | Mr Ryan Keith Harris |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 849 S Three Notch St, Andalusia, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801363601
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860821881
- Enrollment ID: I20200326001647
Medical Identifiers
Medical identifiers for Mr Ryan Keith Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801363601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA9112683 (Florida) | Secondary |
363A00000X | Physician Assistant | PA.1574 (Alabama) | Primary |
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. Mr Ryan Keith 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 |
Mr Ryan Keith Harris, PA-C 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mr Ryan Keith Harris, PA-C 849 S Three Notch St, Andalusia, AL 36420-5325 Ph: (334) 222-8466 |
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