Mr Dwaine Harry, LCSW is a medicare enrolled "Clinic/center - Community Health" provider in Jamaica, New York. His current practice location is
8974 162nd St Ste 5, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 206-3440.
Mr Dwaine Harry is licensed to practice in New York (license number 098303) 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 1629571195.
Healthcare Provider's Profile
Full Name | Mr Dwaine Harry |
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Gender | Male |
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Speciality | Clinic/center - Community Health |
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Location | 8974 162nd St Ste 5, Jamaica, New York |
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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: 1629571195
- Provider Enumeration Date: 03/12/2018
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688104714
- Enrollment ID: I20250205000935
Medical Identifiers
Medical identifiers for Mr Dwaine Harry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629571195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 097276 (New York) | Secondary |
261QC1500X | Clinic/center - Community Health | 098303 (New York) | Primary |
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. Mr Dwaine Harry 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 |
Mr Dwaine Harry, LCSW 16317 130th Ave Apt 2b, Jamaica, NY 11434-3063 Ph: (516) 849-1001 | Mr Dwaine Harry, LCSW 8974 162nd St Ste 5, Jamaica, NY 11432-5012 Ph: (718) 206-3440 |
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