Dr Travis Weaver, DO in South Bend, IN - Medicare Internal Medicine

Dr Travis Weaver, DO is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in South Bend, Indiana. His current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1700.

Dr Travis Weaver is licensed to practice in Indiana (license number 02007513A) 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 1063808772.

Contact Information

	Dr Travis Weaver, DO
	1815 E Ireland Rd, South Bend, IN 46614-2845
	(574) 647-1700
	(574) 647-7572

Map and Direction

Physician's Profile

Full Name	Dr Travis Weaver
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063808772
Provider Enumeration Date: 04/09/2015
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5294084521
Enrollment ID: I20231122002198

Medical Identifiers

Medical identifiers for Dr Travis Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063808772	NPI	-	NPPES
300083607	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	0102204753 (Virginia)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	02007513A (Indiana)	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 Travis Weaver allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Travis Weaver 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 Travis Weaver, DO 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Dr Travis Weaver, DO 1815 E Ireland Rd, South Bend, IN 46614-2845 Ph: (574) 647-1700

Reviews and Comments

Internal Medicine Doctors in South Bend, IN

Mayank Kumar Mittal, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111
Dr. Steven P. Crowell, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474
Muhammad Shakil Aslam, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111
Waseem Barham, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111
Monika Niemiec, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094
Dr. Thomas P Barbour, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474

Dr Travis Weaver, DO - Medicare Internal Medicine in South Bend, IN