Dr Tysen L Weber, MD in Lewiston, ID

Dr Tysen L Weber, MD is a medicare enrolled "Pediatrics" physician in Lewiston, Idaho. His current practice location is 2315 8th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 746-1383.

Dr Tysen L Weber is licensed to practice in Idaho (license number M-15702) 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 1730673419.

Contact Information

	Dr Tysen L Weber, MD
	2315 8th St, Lewiston, ID 83501-7301
	(208) 746-1383
	(208) 746-6348

Map and Direction

Physician's Profile

Full Name	Dr Tysen L Weber
Gender	Male
Speciality	Pediatrics
Location	2315 8th St, Lewiston, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730673419
Provider Enumeration Date: 06/18/2018
Last Update Date: 04/15/2025

Medicare PECOS Information:

PECOS PAC ID: 8123378130
Enrollment ID: I20210714001455

Medical Identifiers

Medical identifiers for Dr Tysen L Weber such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730673419	NPI	-	NPPES
1730673419	Medicaid	WA
1730673419	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD61156866 (Washington)	Secondary
208000000X	Pediatrics	M-15702 (Idaho)	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 Tysen L Weber allows following entities to bill medicare on his behalf.

Entity Name	Catalyst Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188

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 Tysen L 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 Tysen L Weber, MD 2216 Vineyard Ave, Lewiston, ID 83501-6352 Ph: (208) 289-0425	Dr Tysen L Weber, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383

Reviews and Comments

Pediatrics Doctors in Lewiston, ID

Natale Carasali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348
Gregory P Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348
Dr. Darby S Lynch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348
Theodore K Krisher, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348
Robert Todd Parkey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348
Dr. Craig N. Ambroson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348

Dr Tysen L Weber, MD - Medicare Pediatrics in Lewiston, ID