| Blake Weaver, DO | |
|
902 S Bryant Ave, Edmond, OK 73034-5742 | |
| (405) 348-1900 | |
| (405) 348-0423 |
| Full Name | Blake Weaver |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 902 S Bryant Ave, Edmond, Oklahoma |
| 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 |
|---|---|---|---|
| 1497785893 | NPI | - | NPPES |
| 200058090A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4267 (Oklahoma) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4267 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Panhandle Radiology Pllc | 7315033669 | 7 |
| Diagnostic Imaging Associates Inc | 8820083645 | 70 |
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Pawnee Indian Health Center | 2769470160 | 59 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 85 |
| Zuni Indian Hospital | 5698689644 | 41 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Cherokee Nation | 5799698742 | 369 |
| Lawton Indian Hospital | 6406800234 | 107 |
| Wewoka Indian Health | 7517911415 | 36 |
| Albuquerque Indian Health Center | 7719883164 | 40 |
| Entity Name | Diagnostic Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20040420000018 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Entity Name | Panhandle Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104018571 PECOS PAC ID: 7315033669 Enrollment ID: O20071017000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Weaver, DO 902 S Bryant Ave, Edmond, OK 73034-5742 Ph: (405) 348-1900 | Blake Weaver, DO 902 S Bryant Ave, Edmond, OK 73034-5742 Ph: (405) 348-1900 |
Laurie J Hast, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1208 Blue Wister Cv, Edmond, OK 73013 Phone: 405-255-4519 | |
Donald Wayne Nix, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423 | |
James Delbert Crooks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423 | |
Robin E Acker, MD Radiology Medicare: Medicare Enrolled Practice Location: 1849 Fairmont Ln, Edmond, OK 73013 Phone: 405-659-4120 | |
Dr. Lori Ann Fredrick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013 Phone: 405-844-2601 Fax: 405-844-2610 | |
James Keith Cooper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3509 French Park Dr, Ste E, Edmond, OK 73034 Phone: 405-285-6901 Fax: 405-285-6902 | |
Rodney Alen Kernes, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 432 Pacific Crest Trl, Edmond, OK 73003 Phone: 952-595-1100 Fax: 612-294-4903 |