Mendalose Ortega Harris, RN - Registered Nurse in Fort Gordon, GA

Mendalose Ortega Harris, RN is a Registered Nurse - Community Health based in Fort Gordon, Georgia. Mendalose Ortega Harris is licensed to practice in Illinois (license number 041257023) and her current practice location is 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 787-1193.

NPI number for Mendalose Ortega Harris is 1093045684 and her current mailing address is 38701 38th St, Preventative Medicine Building, Fort Gordon, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093045684.

Contact Information

Mendalose Ortega Harris, RN
300 East Hospital Road, Dwight David Eisenhower Army Medical Center,
Fort Gordon, GA 30905-5650
(706) 787-1193
Not Available



Provider's Profile

Full NameMendalose Ortega Harris
GenderFemale
SpecialityRegistered Nurse - Community Health
Location300 East Hospital Road, Fort Gordon, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093045684
  • Provider Enumeration Date: 01/05/2010
  • Last Update Date: 04/14/2015

Medical Identifiers

Medical identifiers for Mendalose Ortega Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093045684NPI-NPPES
041257023OtherILARMY PUBLIC HEALTH NURSE-MILITARY PROVIDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 041257023 (Illinois)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. Mendalose Ortega Harris is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mendalose Ortega Harris, RN
38701 38th St, Preventative Medicine Building,
Fort Gordon, GA 30905-5650

Ph: (706) 787-1193
Mendalose Ortega Harris, RN
300 East Hospital Road, Dwight David Eisenhower Army Medical Center,
Fort Gordon, GA 30905-5650

Ph: (706) 787-1193

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Registered Nurse Nurses in Fort Gordon, GA

Brenda Cleveland,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905
Phone: 706-787-2552    
Debra Williams,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905
Phone: 706-787-0706    
Elizabeth Michelle Sylvester, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905
Phone: 706-787-7012    
Pamela Bixler,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd # 12, Fort Gordon, GA 30905
Phone: 706-787-8290    
Suzette Ferguson,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905
Phone: 706-231-2437    
Mr. William Scott Perkins, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Eamc, Bld 300, Fort Gordon, GA 30905
Phone: 706-787-0583    

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