| Scott W Harris, CRNA | |
|
5000 Memorial Dr, Two Rivers, WI 54241-3900 | |
| (920) 794-5000 | |
| Not Available |
| Full Name | Scott W Harris |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5000 Memorial Dr, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215912209 | NPI | - | NPPES |
| 44308800 | Medicaid | WI | |
| 051052 | Other | CRNA RECERTIFICATION CARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 140025-030 (Wisconsin) | Primary |
| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott W Harris, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Scott W Harris, CRNA 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 |
Mr. John D Dusenbery, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Mark R Oleck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Richard Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Devin Calaway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-079-4500 | |
Kristen J Horkheimer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-686-5734 | |
Mr. John Paul Hamilton, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 |