Jaye Holland Harris, PA-C is a medicare enrolled "Physician Assistant" in Ocoee, Tennessee. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bradley Polk Walk In Clinic and her current practice location is
119 White Water Dr, Ocoee, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 299-9435.
Jaye Holland Harris is licensed to practice in Tennessee (license number 6982) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053262691.
Provider's Profile
| Full Name | Jaye Holland Harris |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 119 White Water Dr, Ocoee, Tennessee |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jaye Holland Harris graduated from nursing school in 2025
NPI Data:
- NPI Number: 1053262691
- Provider Enumeration Date: 02/09/2026
- Last Update Date: 04/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 5597248351
- Enrollment ID: I20260310004921
Medical Identifiers
Medical identifiers for Jaye Holland Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053262691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 6982 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bradley Polk Walk In Clinic | 0547404931 | 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. Jaye Holland Harris allows following entities to bill medicare on her behalf.
| Entity Name | Charles B Cox Mdpc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366655490
PECOS PAC ID: 6103924709
Enrollment ID: O20070605000568 |
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| Entity Name | Skin Cancer & Cosmetic Dermatology Center PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144419458
PECOS PAC ID: 8224118773
Enrollment ID: O20080109000552 |
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| Entity Name | Bradley Polk Walk in Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770929333
PECOS PAC ID: 0547404931
Enrollment ID: O20130925000716 |
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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. Jaye Holland 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 |
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Jaye Holland Harris, PA-C
119 White Water Dr,
Ocoee, TN 37361-3645
Ph: (423) 299-9435 | Jaye Holland Harris, PA-C
119 White Water Dr,
Ocoee, TN 37361-3645
Ph: (423) 299-9435 |
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