| Dr Brian J Eades, MD | |
|
310 E Walnut St, Garden City, KS 67846-5572 | |
| (620) 275-9752 | |
| (620) 275-4306 |
| Full Name | Dr Brian J Eades |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 40 Years |
| Location | 310 E Walnut St, Garden City, Kansas |
| 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 |
|---|---|---|---|
| 1770670523 | NPI | - | NPPES |
| 127949905 | Medicaid | TX | |
| 62135236 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 04-48941 (Kansas) | Primary |
| 207V00000X | Obstetrics & Gynecology | 55290 (Colorado) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colorado Mountain Medical, Llc | 5496087181 | 57 |
| Commonspirit Kansas Inc | 4789595844 | 76 |
| Entity Name | Colorado Mountain Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730747445 PECOS PAC ID: 5496087181 Enrollment ID: O20191030000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian J Eades, MD Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Dr Brian J Eades, MD 310 E Walnut St, Garden City, KS 67846-5572 Ph: (620) 275-9752 |
Selma J Schultz, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 712a Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 | |
Jeffrey L Schaffer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 115 N Main St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Paul J Meyers, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Ross James Valone, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Christopher Alan Lane, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 | |
Bret E Heskett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 712a Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 | |
Andrea Teresa Dimichele-manes, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 E Walnut St, Garden City, KS 67846 Phone: 620-275-9752 Fax: 620-275-4306 |