Dr David Mark Weitzman, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in North Myrtle Beach, South Carolina. His current practice location is
1016 2nd Ave N Ste 203, North Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 222-5395.
Dr David Mark Weitzman is licensed to practice in South Carolina (license number 39135) 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 1376776781.
Physician's Profile
| Full Name | Dr David Mark Weitzman |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 1016 2nd Ave N Ste 203, North Myrtle Beach, South Carolina |
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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: 1376776781
- Provider Enumeration Date: 09/01/2009
- Last Update Date: 06/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890950026
- Enrollment ID: I20130916000536
Medical Identifiers
Medical identifiers for Dr David Mark Weitzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376776781 | NPI | - | NPPES |
| 071752 | Other | GA | GA MED LIC |
| 01071702A | Other | IN | IN MED LICENSE |
| 39135 | Other | SC | SC LICENSE |
| 53530-20 | Other | WI | STATE OF WISCONSIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 39135 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | 71752 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 39135 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 39135 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 71752 (Georgia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 71752 (Georgia) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 39135 (South Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 53530 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 01071702 (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 39135 (South Carolina) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 01071702 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 53530 (Wisconsin) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 71752 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 01071702-A (Indiana) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 53530 (Wisconsin) | Secondary |
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 David Mark Weitzman allows following entities to bill medicare on his behalf.
| Entity Name | Pic Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110 |
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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 David Mark Weitzman 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 David Mark Weitzman, MD
4701 S Ocean Blvd Apt 5f,
North Myrtle Beach, SC 29582-5367
Ph: (843) 222-5395 | Dr David Mark Weitzman, MD
1016 2nd Ave N Ste 203,
North Myrtle Beach, SC 29582-3288
Ph: (843) 222-5395 |
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