Evan Wynne Harris, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Glastonbury, Connecticut. He went to Rutgers New Jersey Medical School and graduated in 1988 and has 37 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Center For Vein Restoration Ct Llc and his current practice location is
622 Hebron Ave Ste 103, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(727) 452-8777.
Evan Wynne Harris is licensed to practice in Connecticut (license number 53739) 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 1255340865.
Physician's Profile
| Full Name | Evan Wynne Harris |
|---|
| Gender | Male |
|---|
| Speciality | Interventional Radiology |
|---|
| Experience | 37 Years |
|---|
| Location | 622 Hebron Ave Ste 103, Glastonbury, Connecticut |
|---|
| 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:
- Evan Wynne Harris attended and graduated from Rutgers New Jersey Medical School in 1988
NPI Data:
- NPI Number: 1255340865
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 04/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981888567
- Enrollment ID: I20170508000216
Medical Identifiers
Medical identifiers for Evan Wynne Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255340865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085P0229X | Radiology - Pediatric Radiology | ME65745 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 0101257553 (Virginia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 53739 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Center For Vein Restoration Ct Llc | 8820232713 | 8 |
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. Evan Wynne Harris allows following entities to bill medicare on his behalf.
| Entity Name | Center For Vein Restoration Ct Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1306282926
PECOS PAC ID: 8820232713
Enrollment ID: O20130916000084 |
|---|
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. Evan Wynne 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 |
|---|
Evan Wynne Harris, MD
7474 Greenway Center Dr Ste 1000,
Greenbelt, MD 20770-3500
Ph: (855) 830-8346 | Evan Wynne Harris, MD
622 Hebron Ave Ste 103,
Glastonbury, CT 06033-5003
Ph: (727) 452-8777 |
Reviews and Comments