Agnes Harmon, CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Flossmoor, Illinois. Her current practice location is
19550 Governors Hwy, Suite 2000, Flossmoor, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 957-8750.
Agnes Harmon is licensed to practice in Illinois (license number 209.010552) 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 1740244748.
Provider's Profile
| Full Name | Agnes Harmon |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 19550 Governors Hwy, Flossmoor, Illinois |
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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: 1740244748
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 02/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325045644
- Enrollment ID: I20130828000937
Medical Identifiers
Medical identifiers for Agnes Harmon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740244748 | NPI | - | NPPES |
| P01325484 | Other | IL | RR MEDICARE |
| 200532770 | Medicaid | IN | |
| F400437514 | Other | IL | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 70000176A (Indiana) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209.010552 (Illinois) | 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. Agnes Harmon allows following entities to bill medicare on her behalf.
| Entity Name | Primary Healthcare Associates Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467442293
PECOS PAC ID: 4688635337
Enrollment ID: O20041026000077 |
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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. Agnes Harmon 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 |
|---|
Agnes Harmon, CNS
27702 Network Pl,
Chicago, IL 60673-1277
Ph: (708) 957-8750 | Agnes Harmon, CNS
19550 Governors Hwy, Suite 2000,
Flossmoor, IL 60422-2125
Ph: (708) 957-8750 |
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