| Dr Brian D Weaver, MD | |
|
9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242-6251 | |
| (513) 872-4500 | |
| (513) 872-4518 |
| Full Name | Dr Brian D Weaver |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 9825 Kenwood Rd, Blue Ash, Ohio |
| 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 |
|---|---|---|---|
| 1366498586 | NPI | - | NPPES |
| 0187668 | Medicaid | OH | |
| 200274500 | Medicaid | IN | |
| 64013816 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35062598 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Wilson Memorial Hospital | Sidney, OH | Hospital |
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Doctors Hospital | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Radiology And Interventional Associates Inc | 8729976964 | 194 |
| Entity Name | Riverside Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20040309000317 |
| Entity Name | Professional Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043348014 PECOS PAC ID: 0941298764 Enrollment ID: O20040503000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian D Weaver, MD 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242-6251 Ph: (513) 872-4500 | Dr Brian D Weaver, MD 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242-6251 Ph: (513) 872-4500 |
Eugene Paik, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242 Phone: 513-872-4500 Fax: 513-872-4518 | |
Dr. James R Cornwell, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242 Phone: 513-872-4500 Fax: 513-872-4518 | |
John Bora Tezel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd Ste 105, Blue Ash, OH 45242 Phone: 513-872-4500 | |
Matthew John Moore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242 Phone: 513-872-4500 Fax: 513-872-4518 | |
Dr. Elizabeth A Weaver, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242 Phone: 513-872-4500 Fax: 513-872-4518 | |
Aditya Bahel, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-527-9999 | |
Dr. Joseph E Bernstein, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242 Phone: 513-872-4500 Fax: 513-872-4518 |