Grace Kim Harris, DO - Medicare Family Medicine in Midvale, UT

Grace Kim Harris, DO is a medicare enrolled "Family Medicine" physician in Midvale, Utah. Her current practice location is 1225 E Fort Union Blvd, Suite 200, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 233-4400.

Grace Kim Harris is licensed to practice in Utah (license number 53924561204) 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 1093725277.

Contact Information

Grace Kim Harris, DO
1225 E Fort Union Blvd, Suite 200,
Midvale, UT 84047-1889
(801) 233-4400
(801) 233-4410



Physician's Profile

Full NameGrace Kim Harris
GenderFemale
SpecialityFamily Medicine
Location1225 E Fort Union Blvd, Midvale, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093725277
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072591759
  • Enrollment ID: I20230127001530

Medical Identifiers

Medical identifiers for Grace Kim Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093725277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 53924561204 (Utah)Primary

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. Grace Kim Harris allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Grace Kim 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
Grace Kim Harris, DO
1225 E Fort Union Blvd, Suite 200,
Midvale, UT 84047-1889

Ph: (801) 233-4400
Grace Kim Harris, DO
1225 E Fort Union Blvd, Suite 200,
Midvale, UT 84047-1889

Ph: (801) 233-4400

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Family Medicine Doctors in Midvale, UT

Dr. Jay Caesar Moreland, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047
Phone: 801-566-5494    Fax: 801-561-9647
Dr. Katie Lynn Donnelly, APRN, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 65 E 6850 S, Midvale, UT 84047
Phone: 307-259-8362    
Larisa B. Yaroshchuk, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7495 S State St, Midvale, UT 84047
Phone: 801-213-9400    
Hugo Rivas, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047
Phone: 915-213-4218    
Timothy P Young, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 779 W Coliseum Way Ste A, Midvale, UT 84047
Phone: 385-240-0060    Fax: 385-240-0031
Layne Lloyd, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047
Phone: 801-233-4400    Fax: 801-233-4410

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