Dr Frederick D Harris Jr, MD | |
70 Doctors Park, Cape Girardeau, MO 63703-4928 | |
(573) 334-6071 | |
(573) 334-4739 |
Full Name | Dr Frederick D Harris Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 70 Doctors Park, Cape Girardeau, Missouri |
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 |
---|---|---|---|
1124034657 | NPI | - | NPPES |
185214 | Other | MO | MO BLUE CROSS BLUE SHIELD |
430954380CAP | Other | MERCY HEALTH PLAN | |
123361 | Other | HEALTHLINK | |
207216201 | Medicaid | MO | |
063896 | Other | HEALTH ALLIANCE | |
036-107646 | Other | IL | IL BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2005036999 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lourdes Hospital | Paducah, KY | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boone Physician Services Llc | 6507090644 | 228 |
Cape Radiology Group Pc | 9830093236 | 49 |
Mercy Hospital Perry | 1153777826 | 89 |
Boone Physician Services Llc | 6507090644 | 228 |
Cape Radiology Group Pc | 9830093236 | 49 |
Cape Radiology Group Pc | 9830093236 | 49 |
Entity Name | Cape Radiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477506392 PECOS PAC ID: 9830093236 Enrollment ID: O20041011000076 |
Entity Name | Boone Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20240201001477 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick D Harris Jr, MD 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071 | Dr Frederick D Harris Jr, MD 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071 |
Karen B Willens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-6671 | |
Jeffrey William Boss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Dr. Lance C. Faler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 | |
Dr. Justin Ray Hodge, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctor's Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Abel Assefa Belay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 | |
Yuan Yuan Xie, Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 | |
Dr. George A. Pjura, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739 |