Dr Duncan Dwaynne Harris, MD | |
3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 | |
(208) 535-4580 | |
Not Available |
Full Name | Dr Duncan Dwaynne Harris |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 32 Years |
Location | 3200 Channing Way Ste A205, Idaho Falls, Idaho |
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 |
---|---|---|---|
1679528632 | NPI | - | NPPES |
00G775590 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | G77559 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
Syringa General Hospital | Grangeville, ID | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-state Memorial Hospital | 4082502422 | 29 |
Entity Name | Tri-state Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
Mailing Address | Practice Location Address |
---|---|
Dr Duncan Dwaynne Harris, MD Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | Dr Duncan Dwaynne Harris, MD 3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 Ph: (208) 535-4580 |
Dr. Timothy Osborn Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-522-9580 | |
Richard Alan Blatter, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Jared K. Manwaring, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2375 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-529-1948 | |
Dr. Peter M Cannon, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Dr. Roger H Tall, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 Phone: 208-529-0633 Fax: 208-529-1948 |