| Dewayne Lynn Weaver, MD | |
|
320 Warner Dr, Lewiston, ID 83501-4441 | |
| (208) 743-3523 | |
| (208) 746-8741 |
| Full Name | Dewayne Lynn Weaver |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 320 Warner Dr, Lewiston, Idaho |
| 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 |
|---|---|---|---|
| 1265674071 | NPI | - | NPPES |
| 1265674071 | Medicaid | WA | |
| 1265674071 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD60798747 (Washington) | Secondary |
| 207X00000X | Orthopaedic Surgery | M-14024 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Dayton General Hospital | Dayton, WA | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catalyst Medical Group Pllc | 2365722105 | 32 |
| Catalyst Medical Group Pllc | 2365722105 | 32 |
| Entity Name | Catalyst Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Dewayne Lynn Weaver, MD 320 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 743-3523 | Dewayne Lynn Weaver, MD 320 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 743-3523 |
Dr. Ned Richard Schroeder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Bryan James Beardsley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8471 | |
Dr. Gregory Dean Dietrich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Drive, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Regan Bennett Hansen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
John Adam Jelinek, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Steven Randolph Boyea, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 |