| Keith E Harris, MD | |
|
3521 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-4744 | |
| (541) 768-6119 | |
| Not Available |
| Full Name | Keith E Harris |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 46 Years |
| Location | 3521 Nw Samaritan Dr Ste 101, Corvallis, Oregon |
| 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 |
|---|---|---|---|
| 1538235726 | NPI | - | NPPES |
| 500629626 | Medicaid | OR | |
| 00G426220 | Medicaid | CA | |
| 954533818 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G42622 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | MD151168 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuality Community Hospital | Hillsboro, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuality Medical Group Llc | 7416173414 | 255 |
| Entity Name | Corvallis Gastroenterology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075627 PECOS PAC ID: 8123918380 Enrollment ID: O20040319000439 |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith E Harris, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Keith E Harris, MD 3521 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-4744 Ph: (541) 768-6119 |
Tomer Pelleg, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr Ste 227, Corvallis, OR 97330 Phone: 541-768-1261 | |
Allison Terwilliger, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Dr. Parinav Kanwar, Gastroenterology Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Mohan Avula, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Dr. Stanley J. Nudelman, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140 | |
Dr. Randall V. Bream, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330 Phone: 541-768-5205 Fax: 541-768-5206 | |
Jonathan David Jones, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330 Phone: 541-768-5800 |