| William Lee Weaver, MD | |
|
801 N State St, Greenfield, IN 46140-1270 | |
| (317) 802-6301 | |
| Not Available |
| Full Name | William Lee Weaver |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 801 N State St, Greenfield, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558301614 | NPI | - | NPPES |
| 000000594485 | Other | IN | BLUE SHIELD |
| 200244460 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01050939 (Indiana) | Primary |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| William Lee Weaver, MD 4012 Heyward Pl, Indianapolis, IN 46250-4252 Ph: (317) 840-8547 | William Lee Weaver, MD 801 N State St, Greenfield, IN 46140-1270 Ph: (317) 802-6301 |
Carol Costa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 N State St, Greenfield, IN 46140 Phone: 317-468-4415 | |
Krista M Brucker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 W Green Meadows Dr Ste 2, Greenfield, IN 46140 Phone: 317-318-0367 | |
Cindy Spier, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 N State St, Greenfield, IN 46140 Phone: 317-468-4415 |