Dr Martin J Harris, MD is a medicare enrolled "Dermatology" physician in Ft.campbell, Kentucky. His current practice location is
650 Joel Dr, Blanchfield Army Community Hospital, Ft.campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 798-8400.
Dr Martin J Harris is licensed to practice in Virginia (license number 0101252460) 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 1356635270.
Physician's Profile
| Full Name | Dr Martin J Harris |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 650 Joel Dr, Ft.campbell, Kentucky |
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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: 1356635270
- Provider Enumeration Date: 06/08/2011
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618237405
- Enrollment ID: I20180216001682
Medical Identifiers
Medical identifiers for Dr Martin J Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356635270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 0101252460 (Virginia) | Primary |
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 Martin J Harris allows following entities to bill medicare on his behalf.
| Entity Name | Skin Cancer And Dermatology Center Of Colorado Springs, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588631055 PECOS PAC ID: 2769474840 Enrollment ID: O20040330001846 |
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| Entity Name | Salida Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
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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 Martin J 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 Martin J Harris, MD 1000 Rush Dr, Salida, CO 81201-9627 Ph: (719) 530-2200 | Dr Martin J Harris, MD 650 Joel Dr, Blanchfield Army Community Hospital, Ft.campbell, KY 42223 Ph: (270) 798-8400 |
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