| Dr Duncan Dwaynne Harris, MD | |
|
3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 | |
| (208) 535-4580 | |
| Not Available |
| Full Name | Dr Duncan Dwaynne Harris |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 33 Years |
| Location | 3200 Channing Way Ste A205, Idaho Falls, 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 |
|---|---|---|---|
| 1679528632 | NPI | - | NPPES |
| 00G775590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G77559 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-state Memorial Hospital | 4082502422 | 26 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Duncan Dwaynne Harris, MD Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | Dr Duncan Dwaynne Harris, MD 3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 Ph: (208) 535-4580 |
Dr. Timothy Osborn Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-522-9580 | |
Richard Alan Blatter, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Jared K. Manwaring, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2375 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-529-1948 | |
Dr. Peter M Cannon, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Dr. Roger H Tall, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 Phone: 208-529-0633 Fax: 208-529-1948 |