Dr Mitchell Clark Harris, MD | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(270) 798-8400 | |
Not Available |
Full Name | Dr Mitchell Clark Harris |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356721617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 56652 (Kentucky) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | 56652 (Kentucky) | Primary |
Entity Name | Breckinridge Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104828383 PECOS PAC ID: 0941106454 Enrollment ID: O20031208000333 |
Entity Name | Breckinridge Health, Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1104828383 PECOS PAC ID: 0941106454 Enrollment ID: O20071018000547 |
Entity Name | Baptist Health Deaconess Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
Mailing Address | Practice Location Address |
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Dr Mitchell Clark Harris, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Dr Mitchell Clark Harris, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 |
Nicholas Rensing, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Drive, Bach/orthopedic Surgery Department, Fort Campbell, KY 42223 Phone: 270-798-8426 Fax: 270-798-8630 | |
Dr. Thomas Patrick Poepping, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Bach - Dept Of Orthopedics, Fort Campbell, KY 42223 Phone: 270-798-8375 | |
Dr. Phillip Schneider, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8426 | |
Dr. Roxanne Elizabeth Wallace, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-7694 Fax: 270-798-8630 | |
Christina Marie Hylden, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8426 | |
Todd Patrick Balog, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Orthopaedic Surgery, Fort Campbell, KY 42223 Phone: 270-798-8323 |