Juliette Nedah Harris, M.D.
Individual provider Active NPI Family Medicine Physician · Westbrook, CT
NPI 1962889337 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1962889337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 64464 (CT)
- Practice address
- 250 Flat Rock PL
Westbrook, CT 06498-3585 - Phone
- (860) 358-3640
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MHS Primary Care, Inc.
Practice addresses (Care Compare)
250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640
Hospital & facility affiliations
- Middlesex Health Care at Home and Hospice Program
- Middlesex Hospital
- Lawrence & Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200130002827 | CT | Practitioner - Family Practice | 4486942240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64464 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care, Inc | Family Medicine | Current |
Accepting new patients |
| MHS Primary Care Inc | Family Medicine | Current |
Accepting new patients |
Locations
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
250 Flat Rock Pl
Fl 2
Westbrook, CT 06498
Phone (860) 358-3640
250 Flat Rock Pl
Fl 1
Westbrook, CT 06498
Phone (860) 358-3640
250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640
Interoperability endpoints
- jharris13450@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64464 | CT | Yes |
Addresses
Primary practice location
250 Flat Rock PL
Westbrook, CT 06498-3585
Mailing address
4200 Houma Blvd
Metairie, LA 70006-2970
Phone (805) 298-0002
Other names
- Juliette Oram
Other providers in Westbrook, CT
- Alyssa Marie Gambardella
- Sabrina Granniss
- Carolyn R Gumbrecht
- Lindsey B Hall
- Harbor Health Alliance
- Susan Hoddinott
- Meagan Hoffman
- Madison L Horner
- Jodi Lynn Iaccarino
- Megin Iaccarino
All providers in Westbrook, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.