Dr William Michael Harris, DO is a medicare enrolled "Internal Medicine" physician in Chesapeake, West Virginia. His current practice location is
11950 Maccorkle Ave, Chesapeake, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 220-2111.
Dr William Michael Harris is licensed to practice in West Virginia (license number 1320) 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 1891772802.
Physician's Profile
| Full Name | Dr William Michael Harris |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 11950 Maccorkle Ave, Chesapeake, West Virginia |
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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: 1891772802
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 06/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799773511
- Enrollment ID: I20040503000179
Medical Identifiers
Medical identifiers for Dr William Michael Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891772802 | NPI | - | NPPES |
| 001316637 | Other | WV | WV BCBS |
| P00030193 | Other | WV | CH1 RAILROAD MEDICARE |
| 1056879 | Other | WV | WV DWC |
| 5530031 | Other | WV | AETNA |
| P00059183 | Other | WV | CH2 RAILROAD MEDICARE |
| 0077610000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 1320 (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 1320 (West 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 William Michael Harris allows following entities to bill medicare on his behalf.
| Entity Name | Chesapeake Healthcare Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790279651
PECOS PAC ID: 5496090037
Enrollment ID: O20181231000109 |
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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 William Michael 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 William Michael Harris, DO
66 Dutch Ridge Rd,
Clendenin, WV 25045-9528
Ph: (304) 968-3033 | Dr William Michael Harris, DO
11950 Maccorkle Ave,
Chesapeake, WV 25315-1135
Ph: (304) 220-2111 |
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