Karon P Harrison, PA is a medicare enrolled "Physician Assistant - Medical" in Milan, Tennessee. Her current practice location is
4039 Highland St, Milan, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 686-8995.
Karon P Harrison is licensed to practice in Tennessee (license number PA1061) 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 1275512345.
Provider's Profile
| Full Name | Karon P Harrison |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 4039 Highland St, Milan, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275512345
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 02/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 2668497629
- Enrollment ID: I20051008000126
Medical Identifiers
Medical identifiers for Karon P Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275512345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA1061 (Tennessee) | 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. Karon P Harrison allows following entities to bill medicare on her behalf.
| Entity Name | West Tennessee Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053615955
PECOS PAC ID: 3971781006
Enrollment ID: O20110621000009 |
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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. Karon P Harrison 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 |
|---|
Karon P Harrison, PA
Po Box 400,
Jackson, TN 38302-0400
Ph: (731) 425-5752 | Karon P Harrison, PA
4039 Highland St,
Milan, TN 38358-3483
Ph: (731) 686-8995 |
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