| Michael Harris, MD | |
|
4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 | |
| (231) 600-7466 | |
| (877) 370-4631 |
| Full Name | Michael Harris |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 41 Years |
| Location | 4100 Park Forest Dr Ste 200, Traverse City, Michigan |
| 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 |
|---|---|---|---|
| 1366511560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301058808 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Saginaw, MI | Hospital |
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Center, Inc. | 2769387778 | 452 |
| Novello Specialty Clinic Pc | 3870961493 | 6 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972590412 PECOS PAC ID: 2769387778 Enrollment ID: O20031209000107 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
| Entity Name | Novello Specialty Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629716964 PECOS PAC ID: 3870961493 Enrollment ID: O20221201001361 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Harris, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466 | Michael Harris, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466 |
Dr. Ward Robert Gillett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Andrew Charles Luea, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 | |
Diane Begg Young, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Mrs. Jessica E Paonessa, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1221 Sixth St Ste 100, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Wayne Kenneth Stefanciw, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 | |
Dr. Robert Michael Hall, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3922 Cedar Run Rd, Traverse City, MI 49684 Phone: 231-935-0322 Fax: 231-935-0334 |