Mrs Dianne Renee Harrison, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stamps, Arkansas. Her current practice location is
218 Church St, Stamps, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 533-1300.
Mrs Dianne Renee Harrison is licensed to practice in Arkansas (license number 122102) 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 1033752803.
Provider's Profile
| Full Name | Mrs Dianne Renee Harrison |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 218 Church St, Stamps, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033752803
- Provider Enumeration Date: 10/23/2019
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426484015
- Enrollment ID: I20200129002569
Medical Identifiers
Medical identifiers for Mrs Dianne Renee Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033752803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP143675 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 122102 (Arkansas) | 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. Mrs Dianne Renee Harrison allows following entities to bill medicare on her behalf.
| Entity Name | Harrison Family Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225762867
PECOS PAC ID: 0941686034
Enrollment ID: O20220927001540 |
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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. Mrs Dianne Renee Harrison 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 |
|---|
Mrs Dianne Renee Harrison, FNP
218 Church St,
Stamps, AR 71860-2816
Ph: (870) 533-1300 | Mrs Dianne Renee Harrison, FNP
218 Church St,
Stamps, AR 71860-2816
Ph: (870) 533-1300 |
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