Chanel Kristina Harris, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. Her current practice location is
525 E 68th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 685-9275.
Chanel Kristina Harris is licensed to practice in New York (license number ) 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 1518420488.
Physician's Profile
| Full Name | Chanel Kristina Harris |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 525 E 68th St, New York, 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: 1518420488
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 06/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 7012245517
- Enrollment ID: I20190821004126
Medical Identifiers
Medical identifiers for Chanel Kristina Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518420488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | D0106131 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Chanel Kristina 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 |
Chanel Kristina Harris, MD 555 Saratoga Ave, Brooklyn, NY 11212-4518 Ph: () - | Chanel Kristina Harris, MD 525 E 68th St, New York, NY 10065-4870 Ph: (718) 685-9275 |
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