Samantha Yvonne Harris, DPM is a medicare enrolled "Podiatrist" provider in Champlain, New York. She went to Kent State University College Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Hudson Headwaters Health Network and her current practice location is
828 State Route 11, Champlain, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 298-2691.
Samantha Yvonne Harris is licensed to practice in New York (license number N006901) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881912418.
Healthcare Provider's Profile
Full Name | Samantha Yvonne Harris |
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Gender | Female |
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Speciality | Podiatry |
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Experience | 14 Years |
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Location | 828 State Route 11, Champlain, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Samantha Yvonne Harris attended and graduated from Kent State University College Of Podiatric Medicine in 2010
NPI Data:
- NPI Number: 1881912418
- Provider Enumeration Date: 05/06/2010
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800026451
- Enrollment ID: I20180119001870
Medical Identifiers
Medical identifiers for Samantha Yvonne Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881912418 | NPI | - | NPPES |
05016995 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | N006901 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hudson Headwaters Health Network | 7416861208 | 168 |
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. Samantha Yvonne Harris allows following entities to bill medicare on her behalf.
Provider Name | Hudson Headwaters Health Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
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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. Samantha Yvonne 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 |
Samantha Yvonne Harris, DPM 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Samantha Yvonne Harris, DPM 828 State Route 11, Champlain, NY 12919-4966 Ph: (518) 298-2691 |
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