Mariah Marie Harris, is a
Physician Assistant based in New Franken, Wisconsin. Mariah Marie Harris is licensed to practice in * (Not Available) (license number ) and her current practice location is
2558 Jake Dr, New Franken, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 680-0664.
NPI number for Mariah Marie Harris is 1336094523 and her current mailing address is 2558 Jake Dr, New Franken, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336094523.
Provider's Profile
| Full Name | Mariah Marie Harris |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 2558 Jake Dr, New Franken, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336094523
- Provider Enumeration Date: 03/03/2026
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Mariah Marie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336094523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Mariah Marie Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mariah Marie Harris, 2558 Jake Dr, New Franken, WI 54229-9541 Ph: () - | Mariah Marie Harris, 2558 Jake Dr, New Franken, WI 54229-9541 Ph: (920) 680-0664 |
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