Breanna Harris, MD in Dardanelle, AR - Medicare Family Medicine

Breanna Harris, MD is a medicare enrolled "Family Medicine" physician in Dardanelle, Arkansas. Her current practice location is 1714 State Highway 22 W, Dardanelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 477-3084.

Breanna Harris is licensed to practice in Arkansas (license number E-17639) 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 1508287590.

Contact Information

	Breanna Harris, MD
	1714 State Highway 22 W, Dardanelle, AR 72834-2907
	(479) 477-3084
	(479) 477-3098

Map and Direction

Physician's Profile

Full Name	Breanna Harris
Gender	Female
Speciality	Family Medicine
Location	1714 State Highway 22 W, Dardanelle, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508287590
Provider Enumeration Date: 12/18/2013
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3173924594
Enrollment ID: I20230508000804

Medical Identifiers

Medical identifiers for Breanna Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508287590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-17639 (Arkansas)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
208D00000X	General Practice	U1681 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	BP10075205 (Texas)	Secondary

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. Breanna Harris allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Breanna 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
Breanna Harris, MD 1714 State Highway 22 W, Dardanelle, AR 72834-2907 Ph: (479) 477-3084	Breanna Harris, MD 1714 State Highway 22 W, Dardanelle, AR 72834-2907 Ph: (479) 477-3084

Reviews and Comments

Family Medicine Doctors in Dardanelle, AR

Matthew Self, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-6167
Allan K Kirkland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3924
Hailey C Farris, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194
Stephen N Luker, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St Ste 1, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194

Breanna Harris, MD - Medicare Family Medicine in Dardanelle, AR