Dr Titus Jack Weller, MD is a medicare enrolled "Emergency Medicine" physician in Pittsburg, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2014 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Avera St Marys and 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
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 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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| Experience | 12 Years |
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| Location | 1 Mt Carmel Way, Pittsburg, Kansas |
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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. |
Medical Education and Training:
- Dr Titus Jack Weller attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2014
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: I20221122002193
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Avera St Marys | 0143134965 | 95 |
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 | Avera St Marys |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
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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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