| Neely Taylor Rose Harris, MD | |
|
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
| (636) 625-5200 | |
| Not Available |
| Full Name | Neely Taylor Rose Harris |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 100 Medical Plz, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962029579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2020018778 (Missouri) | Secondary |
| 208000000X | Pediatrics | 036-166678 (Illinois) | Primary |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Neely Taylor Rose Harris, MD 230 N 2625 East Rd, Pana, IL 62557-6642 Ph: Not Available | Neely Taylor Rose Harris, MD 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5200 |
Dr. Douglas A Barton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-669-2401 |
Naresh J Solanki, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Suite 101, Lake St Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 |
Dr. Eugene J Barth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-669-2401 |
Dr. Kristen L. Rowe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Medical Plz, Suite 310, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-6623 |