| Dr Lee Edward Weiss, MD | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 441-1949 | |
| (740) 446-5982 |
| Full Name | Dr Lee Edward Weiss |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417927609 | NPI | - | NPPES |
| 554106 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 28896 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | 35.134775 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marietta Memorial Hospital | 8224928965 | 353 |
| Entity Name | New Albany Orthopedic Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
| Entity Name | Marietta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee Edward Weiss, MD 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 441-1949 | Dr Lee Edward Weiss, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1949 |
Louis J. Wickas Iii, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 | |
William R. Watts, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 |