Brayden J Healey, DO | |
9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | |
(719) 355-1585 | |
(719) 623-2983 |
Full Name | Brayden J Healey |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649625351 | NPI | - | NPPES |
FH2934025 | Other | CO | DEA |
DR.0071889 | Other | CO | COLORADO MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5101026324 (Michigan) | Secondary |
207N00000X | Dermatology | DR.0071889 (Colorado) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Midwest Center For Dermatology & Pathology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003095084 PECOS PAC ID: 0446330492 Enrollment ID: O20080103000679 |
Mailing Address | Practice Location Address |
---|---|
Brayden J Healey, DO 9833 Fairway Glen Dr, Peyton, CO 80831-4615 Ph: () - | Brayden J Healey, DO 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 Ph: (719) 355-1585 |
Dr. Jeanne Pruss Osborn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920 Phone: 719-667-0888 Fax: 719-667-0808 | |
Dr. Randal C Kumm, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3920 N Union Blvd, Colorado Springs, CO 80907 Phone: 303-338-4545 | |
Larry W Cole, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3245 International Cir, Suite 200, Colorado Springs, CO 80910 Phone: 719-484-8840 Fax: 719-484-8845 | |
Dr. William Strickling, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1633 Medical Center Point, Colorado Springs, CO 80907 Phone: 719-228-0400 Fax: 719-667-4155 | |
Paige L. Neifert, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2405 Research Pkwy, Colorado Springs, CO 80920 Phone: 719-228-0400 Fax: 719-268-2827 | |
Dr. Elizabeth Winfield Piantanida, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 640 Southpointe Ct, Ste 110, Colorado Springs, CO 80906 Phone: 719-228-9488 Fax: 719-424-4859 | |
Dr. Ginger Sanderson Mentz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 170 S Parkside Dr, Colorado Springs Dermatology Clinic, Pc, Colorado Springs, CO 80910 Phone: 719-471-1763 Fax: 719-471-2498 |