LILAS DOROTHY HARLEY DO
NPI 1508489550
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Q: What is Lilas Harley's NPI number?

The NPI number for Lilas Harley is 1508489550. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Lilas Harley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lilas Harley was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment

2020 26TH AVE E, BRADENTON, FL 34208(941) 782-4600(941) 782-4601 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Lilas Dorothy Harley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILAS DOROTHY HARLEY DO (NPI 1508489550) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2020).

NPPES Registry Identity

NPI1508489550

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLILAS DOROTHY HARLEYCredential: DO

Location Address2020 26TH AVE EBradenton, FL 34208-7753

Mailing AddressPo Box 197515Nashville, TN 37219-7515 · (941) 782-4391 · Fax (941) 782-4301

Phone(941) 782-4600

Fax(941) 782-4601

Sole ProprietorYes

Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2020

Enumeration DateMay 26, 2020

NPPES CertifiedMay 26, 2020

✔ NPI 1508489550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2020 26TH AVE E, Bradenton, FL 34208

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lilas Dorothy Harley Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911447008

PECOS Enrollment IDI20240904000679

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMON E BLAND MA, LMHC

Counselor (Mental Health)