| Clayton Andrew Harris, MD | |
|
Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-0001 | |
| (256) 338-9118 | |
| (253) 968-0614 |
| Full Name | Clayton Andrew Harris |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Blanchfield Army Community Hospital, 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 |
|---|---|---|---|
| 1841750536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 66328 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Andrew Harris, MD Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-0001 Ph: (256) 338-9118 | Clayton Andrew Harris, MD Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-0001 Ph: (256) 338-9118 |
Dr. Gary Lee Eberly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8500 | |
Frances Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-0127 | |
Ned Zagajac, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 646-827-9781 | |
Dr. Davida Hemmy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 360-632-6035 | |
Steven Tanksley, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-4498 | |
Dr. Anthony Wade Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Credentialing Office, Fort Campbell, KY 42223 Phone: 210-916-2460 | |
Dr. Joseph Jude, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 |