Dr Jaclyn Harris, DO - Medicare Internal Medicine in Eglin Afb, FL

Dr Jaclyn Harris, DO is a medicare enrolled "Internal Medicine" physician in Eglin Afb, Florida. Her current practice location is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 883-8600.

Dr Jaclyn Harris is licensed to practice in Texas (license number S1408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073047601.

Contact Information

Dr Jaclyn Harris, DO
307 Boatner Rd Ste 114,
Eglin Afb, FL 32542-1302
(850) 883-8600
Not Available



Physician's Profile

Full NameDr Jaclyn Harris
GenderFemale
SpecialityInternal Medicine
Location307 Boatner Rd Ste 114, Eglin Afb, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073047601
  • Provider Enumeration Date: 04/20/2017
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486980422
  • Enrollment ID: I20190729001471

Medical Identifiers

Medical identifiers for Dr Jaclyn Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073047601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine S1408 (Texas)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. Dr Jaclyn 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
Dr Jaclyn Harris, DO
307 Boatner Rd Ste 114,
Eglin Afb, FL 32542-1302

Ph: (850) 883-8600
Dr Jaclyn Harris, DO
307 Boatner Rd Ste 114,
Eglin Afb, FL 32542-1302

Ph: (850) 883-8600

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Internal Medicine Doctors in Eglin Afb, FL

Anjeli Kristen Nayar Pope, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 850-883-9906    
Ronald Rasor, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 307 Boatner Rd, Suite 114 Sgomi, Eglin Afb, FL 32542
Phone: 850-883-8435    Fax: 850-883-8517
Dr. Peerach Phermsangngam Ewings, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 850-883-8600    
Dr. Benjamin Steven Goins, DO
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 850-883-8358    
Dr. Mitchell Bowman, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 850-883-8600    
Blake Richard Shaffer, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 850-883-8600    

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