Dalton Glenn Weaver, - Medicare Physician Assistant in Jackson, TN

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Dalton Glenn Weaver, is a medicare enrolled "Physician Assistant" in Jackson, Tennessee. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Erlanger Health, Chattanooga Hamilton County Hospital Authority and his current practice location is 708 N Highland Ave, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 394-0071.

Dalton Glenn Weaver is licensed to practice in Tennessee (license number ) 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 1104320308.

Contact Information

Dalton Glenn Weaver,
708 N Highland Ave,
Jackson, TN 38301-4829
(731) 394-0071
Not Available

Map and Direction




Provider's Profile

Full NameDalton Glenn Weaver
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location708 N Highland Ave, Jackson, Tennessee
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:
  • Dalton Glenn Weaver graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1104320308
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 08/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779812763
  • Enrollment ID: I20190917002938

Medical Identifiers

Medical identifiers for Dalton Glenn Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104320308NPI-NPPES
028076OtherTNSTATE VOLUNTEER MUTUAL INSURANCE COMPANY (SVMIC)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Erlanger Health SystemChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Erlanger Health1153780226504
Chattanooga Hamilton County Hospital Authority0547179731159

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. Dalton Glenn Weaver allows following entities to bill medicare on his behalf.
Entity NameChattanooga Hamilton County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154751931
PECOS PAC ID: 0547179731
Enrollment ID: O20040302001086
Entity NameErlanger Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477256303
PECOS PAC ID: 1153780226
Enrollment ID: O20230707000849

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. Dalton Glenn Weaver 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
Dalton Glenn Weaver,
109 E Lafayette St,
Jackson, TN 38301-6203

Ph: (731) 300-4232		Dalton Glenn Weaver,
708 N Highland Ave,
Jackson, TN 38301-4829

Ph: (731) 394-0071

Reviews and Comments


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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.