Neely Taylor Rose Harris, MD is a medicare enrolled "Pediatrics" physician in Pana, Illinois. Her current practice location is
230 N 2625 East Rd, Pana, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 820-5247.
Neely Taylor Rose Harris is licensed to practice in Illinois (license number 036-166678) 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 1962029579.
Physician's Profile
| Full Name | Neely Taylor Rose Harris |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 230 N 2625 East Rd, Pana, Illinois |
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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: 1962029579
- Provider Enumeration Date: 06/30/2020
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042667388
- Enrollment ID: I20231108002779
Medical Identifiers
Medical identifiers for Neely Taylor Rose Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962029579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 036-166678 (Illinois) | Primary |
| 208000000X | Pediatrics | 2020018778 (Missouri) | Secondary |
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. Neely Taylor Rose Harris allows following entities to bill medicare on her behalf.
| Entity Name | Sarah Bush Lincoln Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
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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. Neely Taylor Rose 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 |
Neely Taylor Rose Harris, MD 230 N 2625 East Rd, Pana, IL 62557-6642 Ph: () - | Neely Taylor Rose Harris, MD 230 N 2625 East Rd, Pana, IL 62557-6642 Ph: (217) 820-5247 |
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