| John Weaver, | |
|
717 E Rezanof Dr, Kodiak, AK 99615-6416 | |
| (907) 481-2448 | |
| Not Available |
| Full Name | John Weaver |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 717 E Rezanof Dr, Kodiak, Alaska |
| 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 |
|---|---|---|---|
| 1386196111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSWS1281 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Girdwood Health Clinic, Inc. | 4688836216 | 8 |
| Entity Name | Girdwood Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851662233 PECOS PAC ID: 4688836216 Enrollment ID: O20120427000146 |
| Mailing Address | Practice Location Address |
|---|---|
| John Weaver, Po Box, Anchorage, AK 99507 Ph: () - | John Weaver, 717 E Rezanof Dr, Kodiak, AK 99615-6416 Ph: (907) 481-2448 |
Emily Dixon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-7380 | |
Sarah Marie Davidson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1022 E Rezanof Dr, Kodiak, AK 99615 Phone: 206-569-5255 | |
Melody Dawn Livngston, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-942-5205 | |
Erin Lightle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 Rezanof Dr E, Kodiak, AK 99615 Phone: 907-481-2400 | |
Ms. Rachel Ruth Pence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 Fax: 907-481-2419 | |
Ms. Nyia Asia Charest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 Fax: 907-481-2419 |