Tifenie Hiroko Harris, is a medicare enrolled "Nurse Practitioner - Family" physician in Stanwood, Michigan. Her current practice location is
8540 105th Ave, Stanwood, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 972-2710.
Tifenie Hiroko Harris is licensed to practice in Michigan (license number 4704250274) 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 1558908251.
Physician's Profile
| Full Name | Tifenie Hiroko Harris |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8540 105th Ave, Stanwood, Michigan |
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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: 1558908251
- Provider Enumeration Date: 12/02/2019
- Last Update Date: 05/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214362565
- Enrollment ID: I20200115001836
Medical Identifiers
Medical identifiers for Tifenie Hiroko Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558908251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | F06191538 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704250274 (Michigan) | 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. Tifenie Hiroko Harris allows following entities to bill medicare on her behalf.
| Entity Name | Michigan Primary Care Partners P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366497380 PECOS PAC ID: 8527044551 Enrollment ID: O20040629000594 |
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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. Tifenie Hiroko 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 |
Tifenie Hiroko Harris, 655 125th Ave, Morley, MI 49336-9473 Ph: () - | Tifenie Hiroko Harris, 8540 105th Ave, Stanwood, MI 49346-9764 Ph: (231) 972-2710 |
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