Donald J Weidler, MD is a medicare enrolled "Internal Medicine" physician in Tompkinsville, Kentucky. His current practice location is
801 N Main St, Tompkinsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 407-5052.
Donald J Weidler is licensed to practice in Kentucky (license number 38570) 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 1477577518.
Physician's Profile
| Full Name | Donald J Weidler |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 801 N Main St, Tompkinsville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477577518
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153213632
- Enrollment ID: I20040329000785
Medical Identifiers
Medical identifiers for Donald J Weidler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477577518 | NPI | - | NPPES |
| 64078371 | Medicaid | KY | |
| 000000356155 | Other | KY | ANTHEM PIN |
| 810529995 | Other | | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 38570 (Kentucky) | 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. Donald J Weidler allows following entities to bill medicare on his behalf.
| Entity Name | Living Well Healthcare, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255609046
PECOS PAC ID: 9638339757
Enrollment ID: O20120328000279 |
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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. Donald J Weidler 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 Address | Practice Location Address |
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Donald J Weidler, MD
Po Box 669,
Tompkinsville, KY 42167-0669
Ph: (270) 407-5052 | Donald J Weidler, MD
801 N Main St,
Tompkinsville, KY 42167-1002
Ph: (270) 407-5052 |
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