| Mark Edelstein, MD | |
| 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (719) 526-7924 | |
| (719) 526-7850 | 
| Full Name | Mark Edelstein | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | 1650 Cochrane Cir, Fort Carson, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669444352 | NPI | - | NPPES | 
| 1669444352 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2010007571 (Missouri) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | ME157559 (Florida) | Primary | 
| Entity Name | Florida Hospital Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 | 
| Entity Name | North Brevard Medical Support Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 | 
| Entity Name | Florida Hospital Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark Edelstein, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7924 | Mark Edelstein, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7924 | 
| Jennifer Lynn Even, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Circle, Fort Carson, CO 80913 Phone: 719-526-2361 Fax: 719-526-7732 | |
| Dr. Kathryn Marie Zamboni-cutter,  Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7172 Fax: 719-526-7850 | |
| Sandra Lee Bierling, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7172 Fax: 719-526-7850 | |
| Dr. Jamie Christine Humes, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
| Luat Le, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7000 | |
| Dr. Peter Albert Liehr Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7000 | |
| Dr. Eric H Grant, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7172 Fax: 719-526-7850 |