| Weisbrod Health | |
|
1208 Luther Street Eads CO 81036 | |
| (719) 438-5401 | |
| (719) 438-5697 |
| Full Name | Weisbrod Health |
|---|---|
| Speciality | General Practice |
| Location | 1208 Luther Street, Eads, Colorado |
| Authorized Official Name and Position | Shannon Dixon (CFO) |
| Authorized Official Contact | 7194385401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weisbrod Health Po Box 817 Eads CO 81036-0817 Ph: (719) 438-2251 | Weisbrod Health 1208 Luther Street Eads CO 81036 Ph: (719) 438-5401 |
| NPI Number | 1700115938 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5698716827 |
|---|---|
| Medicare Enrollment ID | O20090520000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700115938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Benjamin Sutton Clower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457321283 PECOS PAC ID: 3577593441 Enrollment ID: I20061030000413 |
| Provider Name | Rolf E Kirby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548279532 PECOS PAC ID: 1557469111 Enrollment ID: I20070605000296 |
| Provider Name | Lori Lynn Thorndike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477755718 PECOS PAC ID: 6305902693 Enrollment ID: I20090312000109 |
| Provider Name | Mark S Flora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417929019 PECOS PAC ID: 9133252216 Enrollment ID: I20100727000814 |
| Provider Name | Jeffrey P Alpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386635027 PECOS PAC ID: 3375677909 Enrollment ID: I20160603000307 |
| Provider Name | Richard W Hammack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639504871 PECOS PAC ID: 6800025651 Enrollment ID: I20170412002224 |
| Provider Name | Casey R Lyons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932581451 PECOS PAC ID: 8527315753 Enrollment ID: I20190524002045 |
| Provider Name | Emily C Rand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467809566 PECOS PAC ID: 8729366323 Enrollment ID: I20191206000420 |
| Provider Name | Margarite Anne Bechis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174010060 PECOS PAC ID: 4385999473 Enrollment ID: I20220309002020 |
| Provider Name | Rachel Bletzacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013645845 PECOS PAC ID: 2961888268 Enrollment ID: I20221010001108 |
| Provider Name | Jeanette Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528062262 PECOS PAC ID: 6901875491 Enrollment ID: I20231111000192 |
| Provider Name | Erik D Ritch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154632743 PECOS PAC ID: 0840512703 Enrollment ID: I20240416003459 |
Valley-wide Counseling & Support Center - Eads Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14833 S Rittgers St, Eads, CO 81036 Phone: 800-511-5446 | |
Eads Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Luther Street, Eads, CO 81036 Phone: 719-438-2251 Fax: 719-438-2254 | |
Weisbrod Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1211 Luther St, Eads, CO 81036 Phone: 719-438-2251 Fax: 719-438-2254 |