Dr Lafe Nelson Harris, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Ewa Beach, Hawaii. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2012 and has 14 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Queens University Medical Group and his current practice location is
91-2135 Fort Weaver Rd Fl 4, Ewa Beach, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 691-3883.
Dr Lafe Nelson Harris is licensed to practice in Hawaii (license number DOS-2354) 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 1932469871.
Physician's Profile
| Full Name | Dr Lafe Nelson Harris |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 14 Years |
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| Location | 91-2135 Fort Weaver Rd Fl 4, Ewa Beach, Hawaii |
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| 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 Lafe Nelson Harris attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2012
NPI Data:
- NPI Number: 1932469871
- Provider Enumeration Date: 05/25/2012
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608199344
- Enrollment ID: I20230105001582
Medical Identifiers
Medical identifiers for Dr Lafe Nelson Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932469871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QS0010X | Family Medicine - Sports Medicine | 9355610-1204 (Utah) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 006235 (Arizona) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | DOS-2354 (Hawaii) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Queens University Medical Group | 2466831557 | 574 |
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 Lafe Nelson Harris allows following entities to bill medicare on his behalf.
| Entity Name | The Queens Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
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| Entity Name | Queens University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
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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 Lafe Nelson 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 Lafe Nelson Harris, DO 91-2135 Fort Weaver Rd Fl 4, Ewa Beach, HI 96706-1940 Ph: (808) 691-3883 | Dr Lafe Nelson Harris, DO 91-2135 Fort Weaver Rd Fl 4, Ewa Beach, HI 96706-1940 Ph: (808) 691-3883 |
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