Clinton Lee Harris, MD - Medicare Pain Management in Jefferson City, MO

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Clinton Lee Harris, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Jefferson City, Missouri. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Jefferson City Medical Group Pc, The Curators Of The University Of Missouri and his current practice location is 1241 W Stadium Blvd, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 556-1706.

Clinton Lee Harris is licensed to practice in Missouri (license number 2014015594) 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 1417940321.

Contact Information

Clinton Lee Harris, MD
1241 W Stadium Blvd,
Jefferson City, MO 65109-6023
(573) 556-1706
(573) 556-5728

Map and Direction




Physician's Profile

Full NameClinton Lee Harris
GenderMale
SpecialityPain Management
Experience26 Years
Location1241 W Stadium Blvd, Jefferson City, Missouri
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:
  • Clinton Lee Harris attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2000
  NPI Data:
  • NPI Number: 1417940321
  • Provider Enumeration Date: 08/25/2005
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486695129
  • Enrollment ID: I20150508001859

Medical Identifiers

Medical identifiers for Clinton Lee Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417940321NPI-NPPES
0462077MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 35473 (Iowa)Secondary
207L00000XAnesthesiology 2014015594 (Missouri)Secondary
207LP2900XAnesthesiology - Pain Medicine 35473 (Iowa)Secondary
207LP2900XAnesthesiology - Pain Medicine 2014015594 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Missouri Health CareColumbia, MOHospital
Lake Regional Health SystemOsage beach, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson City Medical Group Pc1850371089102
The Curators Of The University Of Missouri44867595601035

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. Clinton Lee Harris allows following entities to bill medicare on his behalf.
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972668903
PECOS PAC ID: 1850371089
Enrollment ID: O20040901000004
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924
Entity NameCapital Region Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477980837
PECOS PAC ID: 4688573686
Enrollment ID: O20070323000507
Entity NameThe Curators Of The University Of Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290

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. Clinton Lee 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
Clinton Lee Harris, MD
Po Box 104240,
Jefferson City, MO 65110-4240

Ph: (573) 635-5264		Clinton Lee Harris, MD
1241 W Stadium Blvd,
Jefferson City, MO 65109-6023

Ph: (573) 556-1706

Reviews and Comments


Anesthesiology Doctors in Jefferson City, MO

Scott W. Tanner, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Mark R. Frederick, DO
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Thomas E Hetherington, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Jefferson City, MO 65101
Phone: 573-632-5000    
Suzanne M. Pautler, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315
Dr. Deana Michelle Berrey, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-556-5771    
Dr. Nicolette Christine Wise, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Jefferson City, MO 65101
Phone: 316-268-5000    
Adelia L. Doerhoff, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Christy Dr, Jefferson City, MO 65101
Phone: 573-636-3483    Fax: 573-636-5315

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.