| Dr Kibwe Akin Weaver, MD | |
|
601 John St, Suite M-283, Kalamazoo, MI 49007-5341 | |
| (269) 488-1524 | |
| (269) 488-1655 |
| Full Name | Dr Kibwe Akin Weaver |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 601 John St, Kalamazoo, Michigan |
| 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 |
|---|---|---|---|
| 1013180876 | NPI | - | NPPES |
| 1013180876 | Medicaid | MI | |
| 0203907382 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | T1019 (New Hampshire) | Secondary |
| 208600000X | Surgery | 001073 (Georgia) | Secondary |
| 208600000X | Surgery | 4301099598 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Walton Hospital | Monroe, GA | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| St James Healthcare | Butte, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Scl Health Medical Group-butte Llc | 2466633102 | 82 |
| Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 131 |
| Piedmont Providers Llc | 9830082825 | 425 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Dhp Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780949032 PECOS PAC ID: 1153570783 Enrollment ID: O20120925000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kibwe Akin Weaver, MD 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 488-1524 | Dr Kibwe Akin Weaver, MD 601 John St, Suite M-283, Kalamazoo, MI 49007-5341 Ph: (269) 488-1524 |
Dr. Stephen Todd Wysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-349-7696 Fax: 269-349-0610 | |
Dr. Krishna Mohan Jain, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1815 Henson Ave, Kalamazoo, MI 49048 Phone: 269-492-6500 Fax: 269-492-6461 | |
Dr. David Brandon Minnick, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-283, Kalamazoo, MI 49007 Phone: 269-349-7696 Fax: 269-488-8313 | |
Marc Thomas Downing, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 John St, Suite M351, Kalamazoo, MI 49007 Phone: 269-341-6900 Fax: 269-341-7883 | |
Jason Thomas Ryan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1535 Gull Rd Ste 20, Kalamazoo, MI 49048 Phone: 269-381-4577 | |
James Bailey Babel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048 Phone: 269-343-9113 Fax: 269-343-0510 |