Anthony D Weaver, CRNA | |
412 N Monroe St, Williamsport, IN 47993-1049 | |
(765) 762-4000 | |
Not Available |
Full Name | Anthony D Weaver |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 412 N Monroe St, Williamsport, 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 | 29 |
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 | Unified Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990 |
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 412 N Monroe St, Williamsport, IN 47993-1049 Ph: () - | Anthony D Weaver, CRNA 412 N Monroe St, Williamsport, IN 47993-1049 Ph: (765) 762-4000 |
Jonathan Hudson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 412 N Monroe St, Williamsport, IN 47993 Phone: 765-762-4000 |