Nicole Porter Harlan, MD in Murray, UT - Medicare Internal Medicine

Nicole Porter Harlan, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Murray, Utah. Her current practice location is 5121 S Cottonwood St, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 507-6415.

Nicole Porter Harlan is licensed to practice in Utah (license number 9048517-1205) 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 1679866560.

Contact Information

	Nicole Porter Harlan, MD
	5121 S Cottonwood St, Murray, UT 84107
	(801) 507-6415
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Porter Harlan
Gender	Female
Speciality	Internal Medicine - Critical Care Medicine
Location	5121 S Cottonwood St, Murray, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679866560
Provider Enumeration Date: 05/25/2011
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0547552549
Enrollment ID: I20231012001226

Medical Identifiers

Medical identifiers for Nicole Porter Harlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679866560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	9048517-1205 (Utah)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	9048517-1205 (Utah)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	20012 (New Hampshire)	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. Nicole Porter Harlan allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Nicole Porter Harlan 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
Nicole Porter Harlan, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Nicole Porter Harlan, MD 5121 S Cottonwood St, Murray, UT 84107 Ph: (801) 507-6415

Reviews and Comments

Internal Medicine Doctors in Murray, UT

Bogdan Ciprian Anea, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: Intermountain Kidney Services Clinic, 5169 South Cottonwood Street, Suite 320, Murray, UT 84107 Phone: 801-507-2531 Fax: 801-507-2597
Dr. Samah Bassas, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1278 E Darby Cir, Murray, UT 84117 Phone: 801-228-7228
E Dennis Genebach, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544
Dr. Tomoki Sempokuya, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380
Richa Parag Sheth, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000
Dr. Samuel Morris Brown, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-6415
Dr. Jamie Lynn Rebman, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 5121 Cottonwood Rd, Suite 610, Murray, UT 84107 Phone: 801-507-3630 Fax: 801-507-3630

Nicole Porter Harlan, MD - Medicare Internal Medicine in Murray, UT