| Anthony D Weaver, MD | |
|
60 Mack Walters Rd, Shelbyville, KY 40065-1738 | |
| (502) 633-4622 | |
| Not Available |
| Full Name | Anthony D Weaver |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 60 Mack Walters Rd, Shelbyville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952412454 | NPI | - | NPPES |
| 000000186862 | Other | KY | BLUE CROSS INDIVIDUAL |
| 64245285 | Medicaid | KY | |
| 65906844 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24528 (Kentucky) | Primary |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony D Weaver, MD Po Box 909, Louisville, KY 40201-0909 Ph: () - | Anthony D Weaver, MD 60 Mack Walters Rd, Shelbyville, KY 40065-1738 Ph: (502) 633-4622 |
Gregory J Pfister, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4000 | |
Mhd Haitham Chaker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Stonecrest Rd Ste 203, Shelbyville, KY 40065 Phone: 502-633-1151 Fax: 502-633-5282 | |
Ashok S Kanthawar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Hospital Dr Ste 201, Shelbyville, KY 40065 Phone: 502-895-8970 |