| Erika M Harris | |
|
1769 Jamestown Rd Ste 101 Williamsburg VA 23185-2310 | |
| (757) 719-9039 | |
| (866) 432-1706 |
| Full Name | Erika M Harris |
|---|---|
| Speciality | Internal Medicine |
| Location | 1769 Jamestown Rd Ste 101, Williamsburg, Virginia |
| Authorized Official Name and Position | Peggy Jane Ridenour-wolfe (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8592218587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erika M Harris 2212 Flowerdew Ct Williamsburg VA 23185-3190 Ph: (910) 850-8636 | Erika M Harris 1769 Jamestown Rd Ste 101 Williamsburg VA 23185-2310 Ph: (757) 719-9039 |
| NPI Number | 1609521558 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1557707593 |
|---|---|
| Medicare Enrollment ID | O20240312003551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609521558 | NPI | - | NPPES |
| 1144569435 | Other | PRACTIONER NPI | |
| 1144569435 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Secondary |
| 171400000X | Health & Wellness Coach | () | Secondary |
| Provider Name | Erika M Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144569435 PECOS PAC ID: 8729398680 Enrollment ID: I20151104001779 |
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