Diamond N Harris, MD | |
1373 E State Road 62 # Level2, Madison, IN 47250-7328 | |
(812) 801-0300 | |
(812) 801-0585 |
Full Name | Diamond N Harris |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1373 E State Road 62 # Level2, Madison, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689960429 | NPI | - | NPPES |
201239430 | Medicaid | IN | |
884673 | Other | IN | ANTHEM |
4189809 | Other | IN | AETNA |
7100339020 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15610 (South Dakota) | Secondary |
208000000X | Pediatrics | MT199150 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 01074348A (Indiana) | Primary |
Entity Name | Norton - Kings Daughters Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Mailing Address | Practice Location Address |
---|---|
Diamond N Harris, MD Po Box 3395, Evansville, IN 47732-3395 Ph: () - | Diamond N Harris, MD 1373 E State Road 62 # Level2, Madison, IN 47250-7328 Ph: (812) 801-0300 |
Dr. Jennifer A Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0300 | |
Dr. Jenna Aleea Ali, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 | |
Stephanie Nicole Morgan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2420 Wilson Ave, Madison, IN 47250 Phone: 812-292-4464 | |
Susan M Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Dr. Sarah R. Marshall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-273-5437 Fax: 812-801-8005 | |
Patrick W Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 |