John Scott Harris, MD | |
1353 N 5th St, Laramie, WY 82072-2005 | |
(509) 254-1237 | |
Not Available |
Full Name | John Scott Harris |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1353 N 5th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306929252 | NPI | - | NPPES |
8128498 | Medicaid | WA | |
002384400 | Medicaid | ID | |
49804 | Other | WA | WA LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD000040535 (Washington) | Secondary |
208000000X | Pediatrics | 11916 (Montana) | Secondary |
208000000X | Pediatrics | D98218 (Maryland) | Primary |
Entity Name | Sidney Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376617191 PECOS PAC ID: 0749181535 Enrollment ID: O20040115000513 |
Entity Name | Sidney Health Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285719161 PECOS PAC ID: 0749181535 Enrollment ID: O20061104000419 |
Mailing Address | Practice Location Address |
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John Scott Harris, MD 1353 N 5th St, Laramie, WY 82072-2005 Ph: (509) 254-1237 | John Scott Harris, MD 1353 N 5th St, Laramie, WY 82072-2005 Ph: (509) 254-1237 |
Kent Kleppinger, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1252 N 22nd St, Suite B, Laramie, WY 82072 Phone: 307-745-3704 Fax: 307-745-7237 | |
Kelly Ginger Follett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-755-4540 | |
Debra Mae Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 E Harney St Suite 100, Laramie Physicians For Children, Laramie, WY 82072 Phone: 307-721-3118 Fax: 307-721-4880 | |
Dr. Vijaya Madhavi Koduri, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1252 N 22nd St, Laramie, WY 82072 Phone: 307-745-3704 Fax: 307-745-7237 | |
Dr. Joanne E. Steane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E University Ave, Dept. 3068, Laramie, WY 82071 Phone: 307-766-2130 Fax: 307-766-2711 |