| Dr Gregory S Harrison, MD | |
|
777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | |
| (208) 239-2260 | |
| (208) 239-3767 |
| Full Name | Dr Gregory S Harrison |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 30 Years |
| Location | 777 Hospital Way, Pocatello, 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 |
|---|---|---|---|
| 1104825892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 44711 (Minnesota) | Secondary |
| 207T00000X | Neurological Surgery | M11193 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory S Harrison, MD Po Box 4168, Pocatello, ID 83205-4168 Ph: (208) 239-2055 | Dr Gregory S Harrison, MD 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 Ph: (208) 239-2260 |
William Scott Huneycutt, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2240 E Center St, Pocatello, ID 83201 Phone: 208-233-8344 Fax: 208-233-6983 | |
Jonathan T Morgan, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Suite B4, Pocatello, ID 83201 Phone: 208-232-2233 Fax: 208-232-2299 |