Mr Alan M Weaver, DO is a
Family Medicine physician based in Sturgeon, Missouri. Mr Alan M Weaver is licensed to practice in Missouri (license number R8G92) and his current practice location is 208 N Ogden St, Sturgeon, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 687-3411.
NPI number for Mr Alan M Weaver is 1407844962 and his current mailing address is 6601 W Thornhill Rd, Clark, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407844962.
Physician's Profile
| Full Name | Mr Alan M Weaver |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 208 N Ogden St, Sturgeon, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407844962
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 08/12/2011
Medical Identifiers
Medical identifiers for Mr Alan M Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407844962 | NPI | - | NPPES |
| 242429009 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | R8G92 (Missouri) | Primary |
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. Mr Alan M Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Alan M Weaver, DO 6601 W Thornhill Rd, Clark, MO 65243-9381 Ph: (573) 641-5019 | Mr Alan M Weaver, DO 208 N Ogden St, Sturgeon, MO 65284-9217 Ph: (573) 687-3411 |
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