| Dr Brian Keith Carreon, MD | |
|
1502 12th St, Suite A, Shallowater, TX 79363-5652 | |
| (806) 832-4566 | |
| (806) 832-4143 |
| Full Name | Dr Brian Keith Carreon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1502 12th St, Shallowater, Texas |
| 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 |
|---|---|---|---|
| 1831162221 | NPI | - | NPPES |
| 168484709 | Medicaid | TX | |
| 168484708 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L9125 (Texas) | Primary |
| 207P00000X | Emergency Medicine | L9125 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Calvert Home Health Care Ltd | Lubbock, TX | Home health agency |
| Encompass Home Health Of Lubbock | Lubbock, TX | Home health agency |
| University Medical Center | Lubbock, TX | Hospital |
| Covenant Medical Center | Lubbock, TX | Hospital |
| Lamb Healthcare Center | Littlefield, TX | Hospital |
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brian Carreon Md Pa | 8628496460 | 4 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Brian Carreon Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245843051 PECOS PAC ID: 8628496460 Enrollment ID: O20200910003529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Keith Carreon, MD Po Box 2088, Shallowater, TX 79363-2088 Ph: (806) 832-4566 | Dr Brian Keith Carreon, MD 1502 12th St, Suite A, Shallowater, TX 79363-5652 Ph: (806) 832-4566 |
Robert Douglas Walkup, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Highway 84, Shallowater, TX 79363 Phone: 806-441-7445 |