Mrs Lori Cleo Harris, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Mississippi. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Elite Care Family Medicine, Llc and her current practice location is
3 Cr 4050, Marietta, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 728-2408.
Mrs Lori Cleo Harris is licensed to practice in Mississippi (license number R857943) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811168578.
Provider's Profile
| Full Name | Mrs Lori Cleo Harris |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 3 Cr 4050, Marietta, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lori Cleo Harris graduated from nursing school in 2007
NPI Data:
- NPI Number: 1811168578
- Provider Enumeration Date: 03/20/2008
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082784327
- Enrollment ID: I20080529000577
Medical Identifiers
Medical identifiers for Mrs Lori Cleo Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811168578 | NPI | - | NPPES |
| 07825776 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R857943 (Mississippi) | Primary |
Medical Facilities Affiliation
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. Mrs Lori Cleo Harris allows following entities to bill medicare on her behalf.
| Entity Name | Marietta Family Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922032812
PECOS PAC ID: 8527062017
Enrollment ID: O20060914000628 |
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| Entity Name | Elite Care Family Medicine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194128306
PECOS PAC ID: 7214256601
Enrollment ID: O20150506002292 |
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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. Mrs Lori Cleo 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 Address | Practice Location Address |
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Mrs Lori Cleo Harris, NURSE PRACTITIONER
Po Box 56,
Marietta, MS 38856-0056
Ph: (662) 416-1631 | Mrs Lori Cleo Harris, NURSE PRACTITIONER
3 Cr 4050,
Marietta, MS 38856
Ph: (662) 728-2408 |
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