Grace Kim Harris, DO in Midvale, UT - Medicare Family Medicine

Grace Kim Harris, DO is a medicare enrolled "Family Medicine" physician in Midvale, Utah. Her current practice location is 1225 E Fort Union Blvd, Suite 200, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 233-4400.

Grace Kim Harris is licensed to practice in Utah (license number 53924561204) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093725277.

Contact Information

	Grace Kim Harris, DO
	1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889
	(801) 233-4400
	(801) 233-4410

Map and Direction

Physician's Profile

Full Name	Grace Kim Harris
Gender	Female
Speciality	Family Medicine
Location	1225 E Fort Union Blvd, Midvale, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093725277
Provider Enumeration Date: 08/09/2006
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3072591759
Enrollment ID: I20230127001530

Medical Identifiers

Medical identifiers for Grace Kim Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093725277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	53924561204 (Utah)	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. Grace Kim Harris allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Grace Kim 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
Grace Kim Harris, DO 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 Ph: (801) 233-4400	Grace Kim Harris, DO 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 Ph: (801) 233-4400

Reviews and Comments

Family Medicine Doctors in Midvale, UT

Dr. Jay Caesar Moreland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647
Dr. Katie Lynn Donnelly, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 307-259-8362
Larisa B. Yaroshchuk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400
Hugo Rivas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 915-213-4218
Timothy P Young, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 779 W Coliseum Way Ste A, Midvale, UT 84047 Phone: 385-240-0060 Fax: 385-240-0031
Layne Lloyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410

Grace Kim Harris, DO - Medicare Family Medicine in Midvale, UT