| Anthony D Weaver, CRNA | |
|
7150 Clearvista Dr, Indianapolis, IN 46256-1695 | |
| (317) 621-5890 | |
| (317) 621-7884 |
| Full Name | Anthony D Weaver |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 7150 Clearvista Dr, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1407942188 | NPI | - | NPPES |
| 4493716 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704213024 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28207816A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jebs Anesthesia Consultants, Llc | 4486046646 | 25 |
| Entity Name | St Vincent Williamsport Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518913565 PECOS PAC ID: 4486636776 Enrollment ID: O20040601001558 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Entity Name | Amsurg Indianapolis Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487056388 PECOS PAC ID: 7618291550 Enrollment ID: O20150123000689 |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Entity Name | Jebs Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony D Weaver, CRNA 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-5890 | Anthony D Weaver, CRNA 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-5890 |
Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884 | |
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275 | |
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 | |
Greg Daley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200 |