| Eleazar P Briones, MD, FACS | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8877 | |
| (320) 269-8186 |
| Full Name | Eleazar P Briones |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 55 Years |
| Location | 824 N 11th St, Montevideo, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255338067 | NPI | - | NPPES |
| 906792200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23408 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Johnson Memorial Hospital | Dawson, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccm Health | 4284539453 | 48 |
| Johnson Memorial Health Services | 5395653836 | 16 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770697260 PECOS PAC ID: 5395653836 Enrollment ID: O20031223000327 |
| Entity Name | Lac Qui Parle Clinic Of Madison Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093745051 PECOS PAC ID: 5395653836 Enrollment ID: O20060504000935 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleazar P Briones, MD, FACS 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Eleazar P Briones, MD, FACS 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |
Dr. Arnold J Lande, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 | |
Yuan Stevenson, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-321-8200 |