| Basheal M Agrawal, MD | |
|
750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | |
| (970) 298-3188 | |
| (970) 298-3190 |
| Full Name | Basheal M Agrawal |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 12 Years |
| Location | 750 Wellington Ave, Grand Junction, Colorado |
| 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 |
|---|---|---|---|
| 1154365153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 53815 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Medical Center | Grand junction, CO | Hospital |
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| Colorado Canyons Hospital And Medical Center | Fruita, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Grand Junction, Llc | 3779707856 | 245 |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Basheal M Agrawal, MD 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 Ph: (970) 298-3188 | Basheal M Agrawal, MD 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 Ph: (970) 298-3188 |
Robert H Fox, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 750 Wellington Ave Ste 3a, Grand Junction, CO 81501 Phone: 970-298-3188 Fax: 970-298-3190 | |
Edward Eugene Maurin Iii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Wellington Ave, Grand Junction, CO 81501 Phone: 970-298-3188 Fax: 970-298-3190 | |
Brian P Witwer, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Wellington Ave Ste 3a, Grand Junction, CO 81501 Phone: 970-298-3188 Fax: 970-298-3190 |