| Wayne Douglas Harris, CRNA | |
|
700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701-3198 | |
| (570) 321-2385 | |
| (570) 321-2479 |
| Full Name | Wayne Douglas Harris |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 700 High St, Williamsport, Pennsylvania |
| 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 |
|---|---|---|---|
| 1568522779 | NPI | - | NPPES |
| 1018362650002 | Medicaid | PA | |
| 103899 | Other | PA | GEISINGER HEALTH PLAN |
| 1018362650001 | Medicaid | PA | |
| 1018362650003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN503469L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639114689 PECOS PAC ID: 2264336460 Enrollment ID: O20040615001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Douglas Harris, CRNA 1201 Grampian Blvd, Po Box 3127, Williamsport, PA 17701-1900 Ph: () - | Wayne Douglas Harris, CRNA 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701-3198 Ph: (570) 321-2385 |
Jayson Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 338 Eldred St, Williamsport, PA 17701 Phone: 570-971-5153 | |
Eric Cipcic, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385 | |
Timothy Douglass, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2385 | |
Lynne Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2385 | |
Adrian Michael Bermudez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1279 | |
David Rhodes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385 | |
David Hoffman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1000 |