| Dr Brian J Eades, MD | |
|
236 Cottonwood St, Delta, CO 81416-4401 | |
| (970) 874-7930 | |
| (970) 874-7934 |
| Full Name | Dr Brian J Eades |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 41 Years |
| Location | 236 Cottonwood St, Delta, 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 |
|---|---|---|---|
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Luis Valley Health | Alamosa, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 146 |
| Colorado Mountain Medical, Llc | 5496087181 | 63 |
| Entity Name | Lutheran Hospital Association of the San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Entity Name | Mountain Family Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477552388 PECOS PAC ID: 3173413101 Enrollment ID: O20040316000175 |
| 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 236 Cottonwood St, Delta, CO 81416-4401 Ph: (970) 874-7930 |
Janet C Dean, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 70 Stafford Ln, Delta, CO 81416 Phone: 970-874-7930 Fax: 970-874-7934 |
Ms. Michelle Barhaghi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 236 Cottonwood St, Delta, CO 81416 Phone: 970-874-7930 Fax: 970-874-7934 |
Dale B Call, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 70 Stafford Lane, Suite 102, Delta, CO 81416 Phone: 970-874-0104 Fax: 970-874-1009 |