Dr Jezwah E Harris, FNP-BC, MEP-C, NE-BC is a medicare enrolled "Nurse Practitioner" physician in Aventura, Florida. His current practice location is
16215 Biscayne Blvd Ste 131, Aventura, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 744-5152.
Dr Jezwah E Harris is licensed to practice in Florida (license number APRN11035589) 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 1609502657.
Physician's Profile
| Full Name | Dr Jezwah E Harris |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 16215 Biscayne Blvd Ste 131, Aventura, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609502657
- Provider Enumeration Date: 07/30/2022
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103346432
- Enrollment ID: I20250218000979
Medical Identifiers
Medical identifiers for Dr Jezwah E Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609502657 | NPI | - | NPPES |
| 125974100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 11035589 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 355285 (New York) | Secondary |
| 207R00000X | Internal Medicine | 11035589 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11035589 (Florida) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 11035589 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 314884 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | 95031847 (California) | 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. Dr Jezwah E Harris allows following entities to bill medicare on his behalf.
| Entity Name | Openloop Healthcare Partners Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245820661
PECOS PAC ID: 2668871898
Enrollment ID: O20210830000934 |
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| Entity Name | Welltrackone Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770367468
PECOS PAC ID: 4880049089
Enrollment ID: O20231009000247 |
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| Entity Name | Je Harris Nursing |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972328847
PECOS PAC ID: 4385164615
Enrollment ID: O20250218000068 |
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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 Jezwah E 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 Jezwah E Harris, FNP-BC, MEP-C, NE-BC
12555 Biscayne Blvd, Pmb 1037,
North Miami, FL 33181
Ph: (323) 229-2070 | Dr Jezwah E Harris, FNP-BC, MEP-C, NE-BC
16215 Biscayne Blvd Ste 131,
Aventura, FL 33160-4300
Ph: (786) 744-5152 |
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