Jennifer Andrea Weatherly, DO is a medicare enrolled "Family Medicine" physician in Lancaster, Texas. She went to University Of Texas Medical School At Houston and graduated in 1998 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Conviva Medical Center Management Of Texas, P.a. and her current practice location is
2424 W Pleasant Run Rd Ste 200, Lancaster, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 274-5200.
Jennifer Andrea Weatherly is licensed to practice in Texas (license number L3871) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548279375.
Physician's Profile
| Full Name | Jennifer Andrea Weatherly |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 2424 W Pleasant Run Rd Ste 200, Lancaster, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Andrea Weatherly attended and graduated from University Of Texas Medical School At Houston in 1998
NPI Data:
- NPI Number: 1548279375
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 10/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214923176
- Enrollment ID: I20040424000254
Medical Identifiers
Medical identifiers for Jennifer Andrea Weatherly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548279375 | NPI | - | NPPES |
| 395294701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | L3871 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Conviva Medical Center Management Of Texas, P.a. | 8729302278 | 108 |
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. Jennifer Andrea Weatherly allows following entities to bill medicare on her behalf.
| Entity Name | Conviva Medical Center Management Of Texas, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
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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. Jennifer Andrea Weatherly 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 |
Jennifer Andrea Weatherly, DO 2424 W Pleasant Run Rd Ste 200, Lancaster, TX 75146-4007 Ph: (972) 274-5200 | Jennifer Andrea Weatherly, DO 2424 W Pleasant Run Rd Ste 200, Lancaster, TX 75146-4007 Ph: (972) 274-5200 |
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