Abdul Kezin Harris, MD - Medicare General Surgery in Santa Rosa, CA

Abdul Kezin Harris, MD is a medicare enrolled "Surgery" physician in Santa Rosa, California. He went to University Of California, Davis School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Saint Agnes Medical Foundation and his current practice location is 1701 4th St, Ste 200, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 579-2100.

Abdul Kezin Harris is licensed to practice in California (license number A61120) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396859393.

Contact Information

Abdul Kezin Harris, MD
1701 4th St, Ste 200,
Santa Rosa, CA 95404-3601
(707) 579-2100
(707) 523-0616

Map and Direction




Physician's Profile

Full NameAbdul Kezin Harris
GenderMale
SpecialityGeneral Surgery
Experience29 Years
Location1701 4th St, Santa Rosa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Abdul Kezin Harris attended and graduated from University Of California, Davis School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1396859393
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 02/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6406933845
  • Enrollment ID: I20080409000265

Medical Identifiers

Medical identifiers for Abdul Kezin Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396859393NPI-NPPES
P00469231OtherCARR MEDICARE
1396859393MedicaidCA
00A611200OtherCABS OF CALIFORNIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A61120 (California)Primary
2086S0127XSurgery - Trauma Surgery A61120 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Agnes Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Agnes Medical Foundation7618946369136

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. Abdul Kezin Harris allows following entities to bill medicare on his behalf.
Entity NameSurgical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366824161
PECOS PAC ID: 6002110814
Enrollment ID: O20160215001177
Entity NameSaint Agnes Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558819482
PECOS PAC ID: 7618946369
Enrollment ID: O20170125002669

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. Abdul Kezin 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 AddressPractice Location Address
Abdul Kezin Harris, MD
3536 Mendocino Ave, Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 575-6049
Abdul Kezin Harris, MD
1701 4th St, Ste 200,
Santa Rosa, CA 95404-3601

Ph: (707) 579-2100

Reviews and Comments


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Brian Frederick Schmidt, M.D.
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Keith Forrest Korver, M.D.
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Phone: 707-569-7860    Fax: 707-545-5408

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.