Mrs Mary Katherine Harris, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pageland, South Carolina. Her current practice location is
222 S Van Lingle Mungo Blvd, Pageland, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 675-5000.
Mrs Mary Katherine Harris is licensed to practice in South Carolina (license number 28386) 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 1104681584.
Provider's Profile
Full Name | Mrs Mary Katherine Harris |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 222 S Van Lingle Mungo Blvd, Pageland, South Carolina |
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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: 1104681584
- Provider Enumeration Date: 02/15/2024
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981042355
- Enrollment ID: I20240403004488
Medical Identifiers
Medical identifiers for Mrs Mary Katherine Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104681584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 28386 (South Carolina) | 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 Mary Katherine Harris allows following entities to bill medicare on her behalf.
Entity Name | Lowcountry Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
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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 Mary Katherine 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 |
Mrs Mary Katherine Harris, APRN, FNP-C 222 S Van Lingle Mungo Blvd, Pageland, SC 29728-1950 Ph: () - | Mrs Mary Katherine Harris, APRN, FNP-C 222 S Van Lingle Mungo Blvd, Pageland, SC 29728-1950 Ph: (843) 675-5000 |
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