Dr Thomas A Weber, MD is a medicare enrolled "Obstetrics & Gynecology" physician in River Falls, Wisconsin. His current practice location is
319 S Main St, River Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 425-6701.
Dr Thomas A Weber is licensed to practice in Wisconsin (license number 25180) 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 1154307916.
Physician's Profile
| Full Name | Dr Thomas A Weber |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 319 S Main St, River Falls, Wisconsin |
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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: 1154307916
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 02/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193621498
- Enrollment ID: I20080616000515
Medical Identifiers
Medical identifiers for Dr Thomas A Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154307916 | NPI | - | NPPES |
| 872367200 | Medicaid | MN | |
| 30526300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 25917 (Minnesota) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 25180 (Wisconsin) | Primary |
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 Thomas A Weber allows following entities to bill medicare on his behalf.
| Entity Name | Fairview Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811550155
PECOS PAC ID: 7113830142
Enrollment ID: O20210129001835 |
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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 Thomas A Weber 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 Thomas A Weber, MD
1687 E. Division St.,
River Falls, WI 54022-1571
Ph: (715) 425-6701 | Dr Thomas A Weber, MD
319 S Main St,
River Falls, WI 54022-2452
Ph: (715) 425-6701 |
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