| Beth A Weaver, NP | |
|
3190 Northridge Drive, Hale, MI 48739-9276 | |
| (989) 728-6000 | |
| (989) 728-6003 |
| Full Name | Beth A Weaver |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 3190 Northridge Drive, Hale, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447248703 | NPI | - | NPPES |
| 105230710 | Medicaid | MI | |
| 500C510200 | Other | BCBCS | |
| BW148660 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704148660 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Tawas city, MI | Home health agency |
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progress Physical Therapy Inc | 5698669919 | 19 |
| Mymichigan Medical Center Tawas | 9638070766 | 30 |
| Entity Name | Ascension St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713461 PECOS PAC ID: 9638070766 Enrollment ID: O20040202000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth A Weaver, NP Po Box 279, Hale, MI 48739-0279 Ph: (989) 728-6000 | Beth A Weaver, NP 3190 Northridge Drive, Hale, MI 48739-9276 Ph: (989) 728-6000 |
Debra K Provoast, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Mrs. Jessica Lynn Wilson, MSN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-892-7722 | |
Lydia Jordan Leonard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Lindsey Grace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Margaret M Marth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-4211 Fax: 989-728-4334 | |
Dean Edward Guoan, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5599 E State Rd, Hale, MI 48739 Phone: 989-254-7578 |