| Wayne H Harris, DO | |
|
1537 N Singleton Ave, Titusville, FL 32796-1679 | |
| (321) 241-6800 | |
| (321) 241-6890 |
| Full Name | Wayne H Harris |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1537 N Singleton Ave, Titusville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184672578 | NPI | - | NPPES |
| 8V1560 | Other | TX | BCBSTX |
| 116905600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G8607 (Texas) | Secondary |
| 207Q00000X | Family Medicine | OS8253 (Florida) | Primary |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne H Harris, DO Po Box 1137, Melbourne, FL 32902-1137 Ph: (321) 952-9696 | Wayne H Harris, DO 1537 N Singleton Ave, Titusville, FL 32796-1679 Ph: (321) 241-6800 |
James T Nichols, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Garden St, Titusville, FL 32796 Phone: 321-268-0128 Fax: 321-268-0668 | |
Mrs. Miranda B Marshall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1785 Garden St, Titusville, FL 32796 Phone: 321-269-9612 | |
Maria C Torres, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 Country Club Dr, Titusville, FL 32780 Phone: 321-264-1052 Fax: 321-264-0778 | |
Dr. Christopher M Manion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Parrish Medical Group - Hospitalist Dept, Titusville, FL 32796 Phone: 321-268-6111 Fax: 321-268-6360 | |
David R. Quintyne, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Washington Ave, Suite 105, Titusville, FL 32796 Phone: 321-268-0267 Fax: 321-268-3357 | |
Paul Wong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 250 Harrison St Fl 2nd, Titusville, FL 32780 Phone: 321-268-6868 Fax: 321-267-2713 | |
Radoslaw Jakub Czajkowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 |