Dr Adam Weller, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mccall, Idaho. He went to University Of Nevada School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice St Lukes Clinic - Mccall Llc and his current practice location is
1000 State St, Mccall, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 634-2221.
Dr Adam Weller is licensed to practice in Idaho (license number M-12492) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568634855.
Physician's Profile
| Full Name | Dr Adam Weller |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 16 Years |
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| Location | 1000 State St, Mccall, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Weller attended and graduated from University Of Nevada School Of Medicine in 2008
NPI Data:
- NPI Number: 1568634855
- Provider Enumeration Date: 03/27/2008
- Last Update Date: 02/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567603020
- Enrollment ID: I20140916000393
Medical Identifiers
Medical identifiers for Dr Adam Weller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568634855 | NPI | - | NPPES |
| 1568634855 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | M-12492 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Mccall Llc | 7618127994 | 39 |
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. Dr Adam Weller allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic - Mccall Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881982510
PECOS PAC ID: 7618127994
Enrollment ID: O20121120000225 |
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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. Dr Adam Weller 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 |
|---|
Dr Adam Weller, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 634-2221 | Dr Adam Weller, MD
1000 State St,
Mccall, ID 83638-3704
Ph: (208) 634-2221 |
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