Blake D Weatherby, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rogers, AR

Blake D Weatherby, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rogers, Arkansas. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services Of Benton County Pa and his current practice location is 2710 S Rife Medical Ln, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 338-8000.

Blake D Weatherby is licensed to practice in Arkansas (license number 213551) 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 1235734542.

Contact Information

Blake D Weatherby, CRNA
2710 S Rife Medical Ln,
Rogers, AR 72758-1452
(479) 338-8000
(479) 338-3056

Map and Direction




Provider's Profile

Full NameBlake D Weatherby
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location2710 S Rife Medical Ln, Rogers, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake D Weatherby graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1235734542
  • Provider Enumeration Date: 12/03/2020
  • Last Update Date: 02/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830504976
  • Enrollment ID: I20210223000994

Medical Identifiers

Medical identifiers for Blake D Weatherby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235734542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 864477 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 213551 (Arkansas)Primary
163W00000XRegistered Nurse TEMP213551 (Arkansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Northwest ArkansasRogers, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Services Of Benton County Pa226440584446

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. Blake D Weatherby allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Services Of Benton County Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013084482
PECOS PAC ID: 2264405844
Enrollment ID: O20040813000287

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. Blake D Weatherby 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 AddressPractice Location Address
Blake D Weatherby, CRNA
Po Box 507,
Lowell, AR 72745-0507

Ph: (479) 338-8000
Blake D Weatherby, CRNA
2710 S Rife Medical Ln,
Rogers, AR 72758-1452

Ph: (479) 338-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Rogers, AR

Steven Derek Ceola, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758
Phone: 913-381-5200    Fax: 913-381-0979
Matthew W Shelby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758
Phone: 913-642-4900    Fax: 913-381-0979
Chad Silvey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758
Phone: 479-338-8000    Fax: 479-338-3056
Sean P Mccarthy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W Walnut St, Rogers, AR 72756
Phone: 479-636-0200    Fax: 479-936-2912
Ms. Allison Elizabeth Lee Mckay, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758
Phone: 913-642-4900    Fax: 913-381-0979
Monte Clayton Moore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758
Phone: 913-381-5200    Fax: 913-381-0979
Matthew David Hicks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W Walnut St, Rogers, AR 72756
Phone: 479-636-0200    Fax: 479-936-2912

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.