Dr Titus Jack Weller, MD is a medicare enrolled "Emergency Medicine" physician in Pittsburg, Kansas. His current practice location is
1 Mt Carmel Way, Pittsburg, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 231-6100.
Dr Titus Jack Weller is licensed to practice in Kansas (license number 04-38784) 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 1356760243.
Physician's Profile
| Full Name | Dr Titus Jack Weller |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1 Mt Carmel Way, Pittsburg, Kansas |
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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: 1356760243
- Provider Enumeration Date: 04/08/2014
- Last Update Date: 04/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537471826
- Enrollment ID: I20170307000200
Medical Identifiers
Medical identifiers for Dr Titus Jack Weller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356760243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2018004967 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 04-38784 (Kansas) | 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 Titus Jack Weller allows following entities to bill medicare on his behalf.
| Entity Name | Sound Physicians Emergency Medicine Of Kansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831689934
PECOS PAC ID: 6800141672
Enrollment ID: O20180619001843 |
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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 Titus Jack Weller 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 Titus Jack Weller, MD
1 Mt Carmel Way,
Pittsburg, KS 66762-7587
Ph: (620) 231-6100 | Dr Titus Jack Weller, MD
1 Mt Carmel Way,
Pittsburg, KS 66762-7587
Ph: (620) 231-6100 |
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