| Glenn E Weaver, DO | |
|
575 N River St, Wilkes Barre, PA 18764-0999 | |
| (570) 829-8111 | |
| Not Available |
| Full Name | Glenn E Weaver |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 575 N River St, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063463495 | NPI | - | NPPES |
| 0014412060007 | Medicaid | PA | |
| P01055356 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS0006308L (Pennsylvania) | Primary |
| Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
| Entity Name | Professional Anesthesia Services Of North America Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn E Weaver, DO 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 259-9360 | Glenn E Weaver, DO 575 N River St, Wilkes Barre, PA 18764-0999 Ph: (570) 829-8111 |
Laureen Helen Sheypuk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Dr. Michael Trakas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Susan Dulka, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7779 Fax: 570-808-5390 | |
John M Treven, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Dr. Ryan J. Ness, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-8740 Fax: 570-808-8739 | |
Joseph Filler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 |