Dr Ethan Daniel Harris, MD is a medicare enrolled "Family Medicine" physician in Fpo, Ap, California. His current practice location is
Psc 482, Fpo, Ap, California. You can reach out to his office (for appointments etc.) via phone at
(315) 646-7037.
Dr Ethan Daniel Harris is licensed to practice in Minnesota (license number 68267) 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 1881188563.
Physician's Profile
| Full Name | Dr Ethan Daniel Harris |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Psc 482, Fpo, Ap, California |
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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: 1881188563
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315461845
- Enrollment ID: I20250407001462
Medical Identifiers
Medical identifiers for Dr Ethan Daniel Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881188563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 68267 (Minnesota) | 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. Dr Ethan Daniel 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 |
Dr Ethan Daniel Harris, MD 200 Mercy Cir, Oceanside, CA 92055 Ph: (760) 725-1288 | Dr Ethan Daniel Harris, MD Psc 482, Fpo, Ap, CA 96362 Ph: (315) 646-7037 |
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