| Mark E Harrison, MD | |
|
620 N Carriage Pkwy, Wichita, KS 67208-4501 | |
| (316) 962-3100 | |
| (316) 962-3192 |
| Full Name | Mark E Harrison |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 620 N Carriage Pkwy, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073587176 | NPI | - | NPPES |
| 102992 | Other | KS | BCBS |
| 100456510A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0429569 (Kansas) | Primary |
| Entity Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
| Entity Name | Wesley Physicians Medical Specialties Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699069732 PECOS PAC ID: 1355509886 Enrollment ID: O20120229000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Harrison, MD 620 N Carriage Pkwy, Wichita, KS 67208-4501 Ph: (316) 962-3100 | Mark E Harrison, MD 620 N Carriage Pkwy, Wichita, KS 67208-4501 Ph: (316) 962-3100 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Reem Siblini, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 |