| Kurt Gene Harris, MD | |
|
228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | |
| (920) 746-9729 | |
| (920) 746-9881 |
| Full Name | Kurt Gene Harris |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 228 S 18th Ave, Sturgeon Bay, Wisconsin |
| 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 |
|---|---|---|---|
| 1902859721 | NPI | - | NPPES |
| 32318600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 38763 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Cuyuna Regional Medical Center | Crosby, MN | Hospital |
| Centracare Health Paynesville Hospital | Paynesville, MN | Hospital |
| Centracare Health System - Sauk Centre | Sauk centre, MN | Hospital |
| Centracare Health System - Melrose Hospital | Melrose, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Medical Imaging Associates Inc | 0446309983 | 4 |
| Regional Diagnostic Radiology | 8820901564 | 40 |
| Entity Name | United Medical Imaging Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760572036 PECOS PAC ID: 0143311241 Enrollment ID: O20070803000169 |
| Entity Name | California Medical Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821234899 PECOS PAC ID: 0446309983 Enrollment ID: O20090513000014 |
| Entity Name | Los Robles Radiologic Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730157215 PECOS PAC ID: 0446319206 Enrollment ID: O20090523000001 |
| Entity Name | Thousand Oaks Diagnostic Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629058466 PECOS PAC ID: 6305983669 Enrollment ID: O20091020000259 |
| Entity Name | Southwest Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20130227000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt Gene Harris, MD 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 Ph: (920) 746-9729 | Kurt Gene Harris, MD 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 Ph: (920) 746-9729 |