| Brandi Weaver, PA | |
|
611 W Park St, Emergency Medicine, Urbana, IL 61801-2529 | |
| (217) 383-3313 | |
| (217) 383-4014 |
| Full Name | Brandi Weaver |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639622889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA3177 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | 085005953 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Weaver, PA 611 W Park St, Bwpc, Urbana, IL 61801-2529 Ph: (217) 383-6941 | Brandi Weaver, PA 611 W Park St, Emergency Medicine, Urbana, IL 61801-2529 Ph: (217) 383-3313 |
Mrs. Abigail Boethin, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 W Park St, Fapc, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 |
Yaa Mensah-bonsu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 |
Hoshang Irani, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |
Aubrey N. Hudson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 |
Bayleigh Augusta White-geisler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7751 |
Sarah Rebecca Moon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 |
Kiley Ann Owen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Emergency, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |