| Dr Harry R Lively, MD | |
|
119 S Locust St, Ste B, Visalia, CA 93291-6251 | |
| (559) 749-0223 | |
| (559) 749-0886 |
| Full Name | Dr Harry R Lively |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 119 S Locust St, Visalia, California |
| 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 |
|---|---|---|---|
| 1922154863 | NPI | - | NPPES |
| 00G562940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G56294 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaweah Delta Medical Center | Visalia, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaweah Delta Health Care District | 6608778790 | 72 |
| Entity Name | Kaweah Delta Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326704529 PECOS PAC ID: 6608778790 Enrollment ID: O20110914000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harry R Lively, MD Po Box 2709, Visalia, CA 93279-2709 Ph: (559) 749-0223 | Dr Harry R Lively, MD 119 S Locust St, Ste B, Visalia, CA 93291-6251 Ph: (559) 749-0223 |
Engracia Ferrer Flores, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5720 W Prospect Dr, Visalia, CA 93291 Phone: 661-721-2345 Fax: 661-721-6276 | |
Amit P Kamboj, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7532 | |
Rajinderpal S Chahal, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3335 S Fairway, Key Medical Associates, Visalia, CA 93277 Phone: 559-735-3881 | |
Dr. David J Heaney, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 515 W Acequia Ave Ste A, Visalia, CA 93291 Phone: 559-733-9707 Fax: 559-733-7009 | |
Dr. David M Hess, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2314 | |
Tyler J. Ellis, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2001 | |
Asma Tariq, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-6999 |