Dr Charles Eugene Harris, PHD is a medicare enrolled "Psychologist - Clinical" provider in Diamondhead, Mississippi. His current practice location is
5427-a Gex Rd, Diamondhead, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 255-4832.
Dr Charles Eugene Harris is licensed to practice in Mississippi (license number 36-620) 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 1346461423.
Healthcare Provider's Profile
| Full Name | Dr Charles Eugene Harris |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 5427-a Gex Rd, Diamondhead, Mississippi |
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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: 1346461423
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183630825
- Enrollment ID: I20060303000537
Medical Identifiers
Medical identifiers for Dr Charles Eugene Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346461423 | NPI | - | NPPES |
| 04804801 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 36-620 (Mississippi) | 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. Dr Charles Eugene Harris allows following entities to bill medicare on his behalf.
| Entity Name | Charles Harris Ph D Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588052096
PECOS PAC ID: 4082930284
Enrollment ID: O20150306000082 |
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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. Dr Charles Eugene 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 |
|---|
Dr Charles Eugene Harris, PHD
1217 Nelson Dr,
Ocean Springs, MS 39564-3032
Ph: (228) 875-7648 | Dr Charles Eugene Harris, PHD
5427-a Gex Rd,
Diamondhead, MS 39525
Ph: (228) 255-4832 |
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