Mr Theodise Harris, FNP-BC - Medicare Nurse Practitioner in Chicago, IL

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Mr Theodise Harris, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Md @ Home Illinois, Sc, Md @ Home Illinois, Sc and his current practice location is 2003 W Fulton St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 243-2223.

Mr Theodise Harris is licensed to practice in Illinois (license number 209022572) 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 1134716830.

Contact Information

Mr Theodise Harris, FNP-BC
2003 W Fulton St,
Chicago, IL 60612-2345
(312) 243-2223
Not Available

Map and Direction




Provider's Profile

Full NameMr Theodise Harris
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location2003 W Fulton St, Chicago, Illinois
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 Theodise Harris graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134716830
  • Provider Enumeration Date: 12/29/2020
  • Last Update Date: 03/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961811997
  • Enrollment ID: I20210504001971

Medical Identifiers

Medical identifiers for Mr Theodise Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134716830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209022572 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Accentcare Home Health Of IllinoisLombard, ILHome health agency
Complete Home Health Services, IncSouth holland, ILHome health agency
Interim Healthcare Of ChicagoAlsip, ILHome health agency
Medpro Health ProvidersTinley park, ILHome health agency
Astra HealthHarwood heights, ILHome health agency
Northwest Community Hospital 1Arlington heights, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Md @ Home Illinois, Sc781016783053
Md @ Home Illinois, Sc781016783053

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 Theodise Harris allows following entities to bill medicare on his behalf.
Entity NameMD @ Home Illinois, SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568758415
PECOS PAC ID: 7810167830
Enrollment ID: O20110831000340

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 Theodise 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
Mr Theodise Harris, FNP-BC
2003 W Fulton St,
Chicago, IL 60612-2345

Ph: (312) 243-2223		Mr Theodise Harris, FNP-BC
2003 W Fulton St,
Chicago, IL 60612-2345

Ph: (312) 243-2223

Reviews and Comments


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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).

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