| Wade Harris, MD | |
|
211 E Logan St, Ste 201, Caldwell, ID 83605-4882 | |
| (208) 454-0567 | |
| Not Available |
| Full Name | Wade Harris |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 25 Years |
| Location | 211 E Logan St, Caldwell, Idaho |
| 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 |
|---|---|---|---|
| 1134227945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | TL-3792 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pocatello Health Services Llc | 6608927637 | 154 |
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Entity Name | Pocatello Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Harris, MD 211 E Logan St, Ste 201, Caldwell, ID 83605-4882 Ph: (208) 454-0567 | Wade Harris, MD 211 E Logan St, Ste 201, Caldwell, ID 83605-4882 Ph: (208) 454-0567 |
Dr. Sandra Lare, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605 Phone: 208-454-2766 | |
Dr. Richard A. Montgomery, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Colt Kennington, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Dr. Alfred F Brem, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 | |
Dr. L. Mark Kimsey, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 305 E Logan St, Caldwell, ID 83605 Phone: 208-459-2840 Fax: 208-459-3012 | |
Lawrence Estel Banta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Suite 200, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 |