Dr Keith Webb Harris Ii, DO in Port Jefferson Station, NY

Dr Keith Webb Harris Ii, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Port Jefferson Station, New York. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and his current practice location is 1500 Route 112 Ste B, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 978-7633.

Dr Keith Webb Harris Ii is licensed to practice in New York (license number 236259-1) 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 1114026853.

Contact Information

	Dr Keith Webb Harris Ii, DO
	1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055
	(631) 978-7633
	(631) 621-4115

Map and Direction

Physician's Profile

Full Name	Dr Keith Webb Harris Ii
Gender	Male
Speciality	Pulmonary Disease
Experience	23 Years
Location	1500 Route 112 Ste B, Port Jefferson Station, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Keith Webb Harris Ii attended and graduated from Philadelphia College Of Osteopathic Medicine in 2001

NPI Data:

NPI Number: 1114026853
Provider Enumeration Date: 09/21/2006
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5597837245
Enrollment ID: I20080712000004

Medical Identifiers

Medical identifiers for Dr Keith Webb Harris Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114026853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	236259-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
Suny/stony Brook University Hospital	Stony brook, NY	Hospital
Peconic Bay Medical Center	Riverhead, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Internists University Faculty Practice Corporation	9133019821	362

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 Keith Webb Harris Ii allows following entities to bill medicare on his behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450

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 Keith Webb Harris Ii 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 Keith Webb Harris Ii, DO 500 Commack Rd Unit 206, Commack, NY 11725-5022 Ph: (631) 675-2125	Dr Keith Webb Harris Ii, DO 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 Ph: (631) 978-7633

Reviews and Comments

Internal Medicine Doctors in Port Jefferson Station, NY

Dr. Michael W Mendelson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694
Matias M Dcosta, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636
Dr. Iryna Ilyasova, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste A, Port Jefferson Station, NY 11776 Phone: 631-686-1414
Kinjal Amit Gosalia, STUDENT Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506
Zarlasht Khan, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840
Anil Sangwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427
Anish Desai, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119

Dr Keith Webb Harris Ii, DO - Medicare Pulmonary Disease in Port Jefferson Station, NY