Dr Keith Andrew Weaver, DO is a medicare enrolled "General Practice" physician in Hixson, Tennessee. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Compassionate Health Care Llc and his current practice location is
1013 Executive Dr, Suite 101, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 875-2538.
Dr Keith Andrew Weaver is licensed to practice in Tennessee (license number 2076) 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 1265652317.
Physician's Profile
| Full Name | Dr Keith Andrew Weaver |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 22 Years |
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| Location | 1013 Executive Dr, Hixson, Tennessee |
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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 Keith Andrew Weaver attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
NPI Data:
- NPI Number: 1265652317
- Provider Enumeration Date: 04/30/2007
- Last Update Date: 02/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 6103960125
- Enrollment ID: I20100215000317
Medical Identifiers
Medical identifiers for Dr Keith Andrew Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265652317 | NPI | - | NPPES |
| 1519501 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 2076 (Tennessee) | Secondary |
| 208D00000X | General Practice | 2076 (Tennessee) | Primary |
| 202C00000X | Independent Medical Examiner | 0102201853 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Compassionate Health Care Llc | 2264564566 | 2 |
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 Keith Andrew Weaver allows following entities to bill medicare on his behalf.
| Entity Name | Compassionate Health Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790009793
PECOS PAC ID: 2264564566
Enrollment ID: O20100722000525 |
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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 Keith Andrew Weaver 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 Keith Andrew Weaver, DO
1013 Executive Dr, Suite 101,
Hixson, TN 37343-7912
Ph: (423) 875-2538 | Dr Keith Andrew Weaver, DO
1013 Executive Dr, Suite 101,
Hixson, TN 37343-7912
Ph: (423) 875-2538 |
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