Dr Tucker Martin Harris, MD - Medicare Otolaryngology in Fayetteville, NY

Dr Tucker Martin Harris, MD is a medicare enrolled "Otolaryngology" physician in Fayetteville, New York. He went to Oregon Health & Sciences Univ School Of Dentistry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice St Josephs Medical Pc and his current practice location is 4000 Medical Center Dr # 117, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 744-1505.

Dr Tucker Martin Harris is licensed to practice in New York (license number 258471) 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 1629232418.

Contact Information

Dr Tucker Martin Harris, MD
4000 Medical Center Dr # 117,
Fayetteville, NY 13066
(315) 744-1505
(315) 214-1924



Physician's Profile

Full NameDr Tucker Martin Harris
GenderMale
SpecialityOtolaryngology
Experience19 Years
Location4000 Medical Center Dr # 117, Fayetteville, New York
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:
  • Dr Tucker Martin Harris attended and graduated from Oregon Health & Sciences Univ School Of Dentistry in 2005
  NPI Data:
  • NPI Number: 1629232418
  • Provider Enumeration Date: 07/11/2008
  • Last Update Date: 10/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426246273
  • Enrollment ID: I20101221000915

Medical Identifiers

Medical identifiers for Dr Tucker Martin Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629232418NPI-NPPES
258471OtherNYLICENSE
03274408MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 258471 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Medical Pc4688855844291

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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. Dr Tucker Martin Harris allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400

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Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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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. Dr Tucker Martin 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 Tucker Martin Harris, MD
4000 Medical Center Dr # 117,
Fayetteville, NY 13066-6631

Ph: (315) 744-1505
Dr Tucker Martin Harris, MD
4000 Medical Center Dr # 117,
Fayetteville, NY 13066

Ph: (315) 744-1505

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Otolaryngology Doctors in Fayetteville, NY


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