| Dr Michael John Weaver, MD | |
|
4901 Forest Park Ave, Ste 2, Saint Louis, MO 63108-1402 | |
| (314) 362-5060 | |
| (314) 362-6959 |
| Full Name | Dr Michael John Weaver |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 12 Years |
| Location | 4901 Forest Park Ave, Saint Louis, Missouri |
| 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 |
|---|---|---|---|
| 1720427974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2015013524 (Missouri) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 12137545-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lone Peak Hospital | Draper, UT | Hospital |
| Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Gastroenterology Llc | 9830174150 | 68 |
| Entity Name | Utah Gastroenterology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
| Entity Name | Granite Peaks Gi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689872897 PECOS PAC ID: 5395920110 Enrollment ID: O20110420000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael John Weaver, MD 660 S Euclid Ave, C B 8121, Saint Louis, MO 63110-1010 Ph: (314) 362-5060 | Dr Michael John Weaver, MD 4901 Forest Park Ave, Ste 2, Saint Louis, MO 63108-1402 Ph: (314) 362-5060 |
Conor Mccartney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 | |
Nakul Shah, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 |