| 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 | 39 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 - Melrose Hospital | Melrose, MN | Hospital |
| Centracare Health System - Long Prairie | Long prairie, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Diagnostic Radiology | 8820901564 | 38 |
| Astera Health | 2961395272 | 109 |
| Entity Name | Regional Diagnostic Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417935321 PECOS PAC ID: 8820901564 Enrollment ID: O20031110000312 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Entity Name | Central Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457967234 PECOS PAC ID: 7012324213 Enrollment ID: O20210407000121 |
| 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 |