Dr Tyler James Harris, MD | |
1510 12th Ave Rd Ste 100, Nampa, ID 83686 | |
(208) 498-1333 | |
Not Available |
Full Name | Dr Tyler James Harris |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 1510 12th Ave Rd Ste 100, Nampa, 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 |
---|---|---|---|
1962799460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD180078 (Oregon) | Secondary |
207P00000X | Emergency Medicine | 4301099332 (Michigan) | Secondary |
207P00000X | Emergency Medicine | M-12361 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
St Anthony Hospital | Pendleton, OR | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America Llc | 6608056171 | 569 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
Mailing Address | Practice Location Address |
---|---|
Dr Tyler James Harris, MD 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600 | Dr Tyler James Harris, MD 1510 12th Ave Rd Ste 100, Nampa, ID 83686 Ph: (208) 498-1333 |
Dr. Richard C Ballantyne, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-364-3000 | |
Dr. Eric Paul Kendall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100 | |
William R England, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 | |
Thomas Ronay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-505-2800 | |
John Mullins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave Rd, Nampa, ID 83686 Phone: 208-498-1080 | |
Dr. Mitchell D Long, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100 | |
Dr. Roger Keith Ottman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100 |