Emerson E Harrison, MD | |
115 31st Ave Se, Moultrie, GA 31768-6771 | |
(229) 891-9148 | |
Not Available |
Full Name | Emerson E Harrison |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 115 31st Ave Se, Moultrie, Georgia |
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 |
---|---|---|---|
1225130800 | NPI | - | NPPES |
P02319602 | Other | GA | RAILROAD MCR |
000502862U | Medicaid | GA | |
G14912A | Other | GA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 030316 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colquitt Regional Urology Llc | 0840455192 | 2 |
Entity Name | Georgia Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Colquitt Regional Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215209416 PECOS PAC ID: 0840455192 Enrollment ID: O20120711000492 |
Entity Name | Urological Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Mailing Address | Practice Location Address |
---|---|
Emerson E Harrison, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9148 | Emerson E Harrison, MD 115 31st Ave Se, Moultrie, GA 31768-6771 Ph: (229) 891-9148 |
Jeremy Zach Goodman, MD Urology Medicare: Medicare Enrolled Practice Location: 16 Live Oak Ct, Moultrie, GA 31768 Phone: 229-891-9148 | |
W Winston Wilfong, M.D. Urology Medicare: Medicare Enrolled Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-785-2400 Fax: 229-207-2532 |