Brian Harrison, MD | |
203 Bailey Ln Ste 1, Benton, IL 62812-2266 | |
(618) 438-5670 | |
(618) 438-5709 |
Full Name | Brian Harrison |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 203 Bailey Ln Ste 1, Benton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518920073 | NPI | - | NPPES |
036111745 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036111745 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Regional Home Care - Crossroads | Mount vernon, IL | Home health agency |
Franklin Williamson Bi County | Marion, IL | Home health agency |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Franklin Hospital | Benton, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Brian Harrison, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 438-5670 | Brian Harrison, MD 203 Bailey Ln Ste 1, Benton, IL 62812-2266 Ph: (618) 438-5670 |
Ralph I Latta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Duquoin, Benton, IL 62812 Phone: 618-435-5362 Fax: 618-438-2613 | |
Dr. Richard Rethorst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969 | |
John D Hartman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Anthony Miksanek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 |