Lance Kennedy Harris, PA-C - Medicare Physician Assistant in Conway, AR

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Lance Kennedy Harris, PA-C is a medicare enrolled "Physician Assistant" in Conway, Arkansas. His current practice location is 1555 Exchange Ave, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 585-2400.

Lance Kennedy Harris is licensed to practice in Arkansas (license number PA-679) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083163638.

Contact Information

Lance Kennedy Harris, PA-C
1555 Exchange Ave,
Conway, AR 72032-7824
(501) 585-2400
Not Available

Map and Direction




Provider's Profile

Full NameLance Kennedy Harris
GenderMale
SpecialityPhysician Assistant
Location1555 Exchange Ave, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083163638
  • Provider Enumeration Date: 09/23/2016
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032492483
  • Enrollment ID: I20170208001786

Medical Identifiers

Medical identifiers for Lance Kennedy Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083163638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-679 (Arkansas)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. Lance Kennedy Harris allows following entities to bill medicare on his behalf.
Entity NameUniversity of Arkansas for Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706
Entity NameBaptist Medcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699868323
PECOS PAC ID: 5698667624
Enrollment ID: O20040325001348
Entity NameGeneral Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386954873
PECOS PAC ID: 7618148800
Enrollment ID: O20110920000309
Entity NameConcord Company of Arkansas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457833014
PECOS PAC ID: 4082968623
Enrollment ID: O20181116001225
Entity NameShiloh Emergency Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205458189
PECOS PAC ID: 6901228154
Enrollment ID: O20200617002064

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. Lance Kennedy 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 AddressPractice Location Address
Lance Kennedy Harris, PA-C
Po Box 83,
Mabelvale, AR 72103-0083

Ph: (573) 450-4271		Lance Kennedy Harris, PA-C
1555 Exchange Ave,
Conway, AR 72032-7824

Ph: (501) 585-2400

Reviews and Comments


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Sloane Ashton Precure, PA-C
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Lakyn Michelle Payne, PA
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Kaylen Welter, MPAS, PA-C
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Janet Reed,
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Phone: 501-327-6900    Fax: 501-327-3690
Lindsay Hutchins, PA-C
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Phone: 501-513-5909    Fax: 501-513-5257
Christy Lynn Grihalva, PA-C
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Phone: 501-513-5909    Fax: 501-513-5257
Brooke Elizabeth Money,
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Phone: 501-513-5385    Fax: 501-513-5257

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.