| Emerson E Harrison, MD | |
|
16 Live Oak Ct, Moultrie, GA 31768 | |
| (229) 891-9148 | |
| (229) 217-4910 |
| Full Name | Emerson E Harrison |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 39 Years |
| Location | 16 Live Oak Ct, Moultrie, Georgia |
| 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 |
|---|---|---|---|
| 1225130800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 030316 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colquitt Regional Urology Llc | 0840455192 | 2 |
| Entity Name | Colquitt Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912099094 PECOS PAC ID: 6204821796 Enrollment ID: O20040415000368 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Colquitt Regional Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215209416 PECOS PAC ID: 0840455192 Enrollment ID: O20120711000492 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Emerson E Harrison, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9148 | Emerson E Harrison, MD 16 Live Oak Ct, Moultrie, GA 31768 Ph: (229) 891-9148 |
Jeremy Zach Goodman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 16 Live Oak Ct, Moultrie, GA 31768 Phone: 229-891-9148 | |
Dr. Cheau Eugene Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-502-9788 | |
W Winston Wilfong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-785-2400 Fax: 229-207-2532 |