Davis Weidow, DO - Medicare Internal Medicine in Mesa, AZ

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Davis Weidow, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Mesa, Arizona. His current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 412-6788.

Davis Weidow is licensed to practice in Arizona (license number 012384) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679100747.

Contact Information

Davis Weidow, DO
1400 S Dobson Rd,
Mesa, AZ 85202-4707
(480) 412-6788
Not Available

Map and Direction




Physician's Profile

Full NameDavis Weidow
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location1400 S Dobson Rd, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679100747
  • Provider Enumeration Date: 03/26/2020
  • Last Update Date: 10/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1153748868
  • Enrollment ID: I20250604001415

Medical Identifiers

Medical identifiers for Davis Weidow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679100747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 012384 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Davis Weidow allows following entities to bill medicare on his behalf.
Entity NameGreater Mobile Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801063938
PECOS PAC ID: 1456429281
Enrollment ID: O20081007000622
Entity NameGmuc of Springhill LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952617508
PECOS PAC ID: 6901091156
Enrollment ID: O20101112000731
Entity NameGmuc of Citronelle LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164794343
PECOS PAC ID: 8426210014
Enrollment ID: O20120426000475
Entity NameGmuc of Saraland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396161758
PECOS PAC ID: 8820211436
Enrollment ID: O20140529002160

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Davis Weidow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davis Weidow, DO
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (480) 412-6788		Davis Weidow, DO
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (480) 412-6788

Reviews and Comments


Internal Medicine Doctors in Mesa, AZ

Ankur Panchal,
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Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206
Phone: 480-733-7500    
Yury Fomin, MD
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Practice Location: 1400 S Dobson Road, Mesa, AZ 85202
Phone: 480-412-6788    Fax: 480-412-6848
Gregg Alan Smith, D.O.
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Dr. Emmanuel A Bayongan, M.D.
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Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202
Phone: 480-543-2034    Fax: 480-512-6089
Dr. Sanjeev Gopal, MD
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Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206
Phone: 602-802-8700    Fax: 602-802-8799
Dr. Alpesh Patel, M.D.
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Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209
Phone: 480-856-8252    Fax: 470-268-9921
Mouhsen H Alhakeem, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202
Phone: 480-412-6788    Fax: 480-412-6848

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.