| Richard Harris, | |
|
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
| (417) 256-9111 | |
| Not Available |
| Full Name | Richard Harris |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 1100 N Kentucky Ave, West Plains, Missouri |
| 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 |
|---|---|---|---|
| 1073664405 | NPI | - | NPPES |
| 915170104 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 110872 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ozarks Medical Center | West plains, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozarks Medical Center | 3870491863 | 164 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040113000290 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740363 PECOS PAC ID: 9436041696 Enrollment ID: O20041220000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Harris, Po Box 1100, West Plains, MO 65775-1100 Ph: () - | Richard Harris, 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Jordan Steuart, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Mrs. Paula Kay Bennett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-6000 | |
Thomas M Ross, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Kevin James Dahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Landry Paxton Strong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Mr. Marvin Lee Jones, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1390 Bill Virdon Blvd, West Plains, MO 65775 Phone: 417-256-2225 Fax: 417-256-2373 |