Mr Deshawn Antonio Harris Sr, APRN - Medicare Nurse Practitioner in New Carlisle, OH

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Mr Deshawn Antonio Harris Sr, APRN is a medicare enrolled "Nurse Practitioner - Family" in New Carlisle, Ohio. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eventus Ecs, Inc, Integrated Pain Solutions Incorporated and his current practice location is 106 N Main St, New Carlisle, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 667-1122.

Mr Deshawn Antonio Harris Sr is licensed to practice in Ohio (license number APRN.CNP.026018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558503615.

Contact Information

Mr Deshawn Antonio Harris Sr, APRN
106 N Main St,
New Carlisle, OH 45344-1835
(937) 667-1122
(419) 225-8878

Map and Direction




Provider's Profile

Full NameMr Deshawn Antonio Harris Sr
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location106 N Main St, New Carlisle, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Deshawn Antonio Harris Sr graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1558503615
  • Provider Enumeration Date: 04/03/2009
  • Last Update Date: 12/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769812759
  • Enrollment ID: I20200414003667

Medical Identifiers

Medical identifiers for Mr Deshawn Antonio Harris Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558503615NPI-NPPES
0385393MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3017379 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family APRN.CNP.026018 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Springfield Regional Medical CenterSpringfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Ecs, Inc2163969650230
Integrated Pain Solutions Incorporated721400897817

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. Mr Deshawn Antonio Harris Sr allows following entities to bill medicare on his behalf.
Entity NameWright State Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114920329
PECOS PAC ID: 7618889320
Enrollment ID: O20031103000097
Entity NameIntegrated Pain Solutions Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568639037
PECOS PAC ID: 7214008978
Enrollment ID: O20080624000350
Entity NameHealth Partners Of Western Ohio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760952741
PECOS PAC ID: 9436139987
Enrollment ID: O20150313002043
Entity NameOhio Post-acute Medical Services 1 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215475199
PECOS PAC ID: 5991081911
Enrollment ID: O20170405002175
Entity NameOhio Musculoskeletal Sports And Spine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740720325
PECOS PAC ID: 1850668195
Enrollment ID: O20170517000908
Entity NameMolina Care Connections, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180220001792
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20190522003072
Entity NamePanorama Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558992842
PECOS PAC ID: 8527498310
Enrollment ID: O20200417003330
Entity NameAlendre D Mcghee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861026973
PECOS PAC ID: 4486084811
Enrollment ID: O20200424002705
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20200728002910
Entity NameEmpower Treatment Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548851843
PECOS PAC ID: 0941614788
Enrollment ID: O20210205002216
Entity NameUsacs Integrated Acute Care Services Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043805690
PECOS PAC ID: 9032527221
Enrollment ID: O20210428002191
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210806002167
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20211214001579
Entity NameCaremed Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669123949
PECOS PAC ID: 0547653610
Enrollment ID: O20220214000722
Entity NameEventus Ecs, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073353496
PECOS PAC ID: 2163969650
Enrollment ID: O20241009003496

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. Mr Deshawn Antonio Harris Sr 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
Mr Deshawn Antonio Harris Sr, APRN
329 N West St,
Lima, OH 45801-4332

Ph: (419) 221-3072		Mr Deshawn Antonio Harris Sr, APRN
106 N Main St,
New Carlisle, OH 45344-1835

Ph: (937) 667-1122

Reviews and Comments


Nurse Practitioner Nurses in New Carlisle, OH

Tonya Lynn Smith, DNP, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 782 Bischoff Rd, New Carlisle, OH 45344
Phone: 937-901-5154    
Stacie Grigsby, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 N Main St, New Carlisle, OH 45344
Phone: 937-667-1122    Fax: 419-225-8878
Mrs. Rachel Gail Frinak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 N Main St, New Carlisle, OH 45344
Phone: 937-667-1122    
Colleen M Updyke, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 N Main St, New Carlisle, OH 45344
Phone: 937-667-1122    Fax: 419-225-8878
Manpreet K Gill, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 N Main St, New Carlisle, OH 45344
Phone: 937-667-1122    Fax: 419-225-8878

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.