Samuel David Weller, is a medicare enrolled "Family Medicine" physician in West Jefferson, Ohio. He went to Ohio State University College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mount Carmel - Osu Physician Alliance Llc and his current practice location is
35 S Twin St, West Jefferson, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 879-8141.
Samuel David Weller is licensed to practice in Ohio (license number 35-07-9160) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750324281.
Physician's Profile
| Full Name | Samuel David Weller |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 26 Years |
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| Location | 35 S Twin St, West Jefferson, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel David Weller attended and graduated from Ohio State University College Of Medicine in 1998
NPI Data:
- NPI Number: 1750324281
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 12/06/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527083682
- Enrollment ID: I20051007000900
Medical Identifiers
Medical identifiers for Samuel David Weller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750324281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 35-07-9160 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mount Carmel - Osu Physician Alliance Llc | 2860617891 | 14 |
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. Samuel David Weller allows following entities to bill medicare on his behalf.
| Entity Name | Mount Carmel - Osu Physician Alliance Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871913731
PECOS PAC ID: 2860617891
Enrollment ID: O20140708001638 |
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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. Samuel David Weller 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 |
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Samuel David Weller,
Po Box 951603,
Cleveland, OH 44193-0018
Ph: () - | Samuel David Weller,
35 S Twin St,
West Jefferson, OH 43162-1442
Ph: (614) 879-8141 |
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