| Kenneth Wayne Harris, MD | |
|
300 S Nevada Ave, Montrose, CO 81401-4273 | |
| (970) 249-7751 | |
| (970) 249-5029 |
| Full Name | Kenneth Wayne Harris |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 300 S Nevada Ave, Montrose, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184698516 | NPI | - | NPPES |
| 3096568 | Medicaid | TN |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Wayne Harris, MD 240 Pello Ln, Nevada City, CA 95959-8337 Ph: (901) 229-1609 | Kenneth Wayne Harris, MD 300 S Nevada Ave, Montrose, CO 81401-4273 Ph: (970) 249-7751 |
John Joseph Frank, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 S Nevada Ave, Montrose, CO 81401 Phone: 970-252-1020 Fax: 970-252-1041 | |
Dr. Danny Claude Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 E Star Ct, Montrose, CO 81401 Phone: 970-497-7700 Fax: 855-855-4482 | |
Dr. Brady James Holdaway, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 S 3rd St, Montrose, CO 81401 Phone: 970-249-7751 | |
Dr. Virginia M Tjan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S 5th St, Montrose, CO 81401 Phone: 970-497-8001 Fax: 970-240-7793 | |
Charles Everett Wilkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 E Star Ct, Montrose, CO 81401 Phone: 970-252-1020 Fax: 970-252-1041 | |
Lee David Ettinger, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 904 S 4th St, Montrose, CO 81401 Phone: 970-252-2753 Fax: 970-240-7330 |