| Dr Jacob Daniel Harris, MD | |
|
400 E 5th Ave, Spokane, WA 99202-1334 | |
| (509) 838-2531 | |
| (509) 755-6580 |
| Full Name | Dr Jacob Daniel Harris |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 400 E 5th Ave, Spokane, Washington |
| 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 |
|---|---|---|---|
| 1174720288 | NPI | - | NPPES |
| 0359483 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0430161 | Other | WA | L&I-VANCOUVER RADIOLOGY |
| 2061893 | Medicaid | WA | |
| 1174720288 | Medicaid | ID | |
| 0415521 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
| 0359471 | Other | WA | L&I-RADIA KING CTY |
| 0359482 | Other | WA | L&I-EVERGREEN RADIA |
| 0359485 | Other | WA | L&I-RADIA REST OF WA |
| 0402063 | Other | WA | L&I-SEATTLE RADIOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M-13352 (Idaho) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD60655741 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Swedish Medical Center | Seattle, WA | Hospital |
| Swedish Edmonds Hospital | Edmonds, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedish Health Services | 3173433067 | 132 |
| Optum Care Washington Pllc | 6406752153 | 597 |
| Radia California Radiology Medical Group Inc | 8921465998 | 115 |
| Radia Inc P S | 9931012812 | 263 |
| Radia Inc P S | 9931012812 | 263 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
| Entity Name | Evergreen Radia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
| Entity Name | South Sound Radiologists Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114356904 PECOS PAC ID: 3173433067 Enrollment ID: O20040414000671 |
| Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
| Entity Name | Radia Imaging Center Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
| Entity Name | Redwood Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20230518000519 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20231108002477 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Daniel Harris, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Jacob Daniel Harris, MD 400 E 5th Ave, Spokane, WA 99202-1334 Ph: (509) 838-2531 |
Dr. Sarah N Peterson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3020 | |
Thomas E Richardson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531 | |
Jodi L Bailey, MD Radiology Medicare: Medicare Enrolled Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-747-4455 Fax: 509-363-7064 | |
William E Schulte, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-747-4455 Fax: 509-363-7064 | |
Jason Vergnani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-363-7788 | |
Brad J Ratcliff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1314 E Susan Ln, Spokane, WA 99223 Phone: 509-953-0145 | |
Dr. Richard Frankland Kennard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Stevens St, Spokane, WA 99204 Phone: 509-363-7788 |