Jacqueline Moran Weber, CNM - Medicare Advanced Practice Midwife in Longview, TX

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Jacqueline Moran Weber, CNM is a medicare enrolled "Advanced Practice Midwife" in Longview, Texas. Her current practice location is 425 N Fredonia St, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 758-2610.

Jacqueline Moran Weber is licensed to practice in Texas (license number AP133198) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689113060.

Contact Information

Jacqueline Moran Weber, CNM
425 N Fredonia St,
Longview, TX 75601-6464
(903) 758-2610
(903) 758-7081

Map and Direction




Provider's Profile

Full NameJacqueline Moran Weber
GenderFemale
SpecialityAdvanced Practice Midwife
Location425 N Fredonia St, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689113060
  • Provider Enumeration Date: 02/17/2017
  • Last Update Date: 08/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880979590
  • Enrollment ID: I20170321000482

Medical Identifiers

Medical identifiers for Jacqueline Moran Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689113060NPI-NPPES
372147403MedicaidTX
P02417077OtherTXMEDICARE RAIL ROAD
8MF284OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife AP133198 (Texas)Primary

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. Jacqueline Moran Weber allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameSpecial Health Resources for Texas, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043209919
PECOS PAC ID: 1355326158
Enrollment ID: O20040623001434
Entity NameLongview Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942269493
PECOS PAC ID: 1254367766
Enrollment ID: O20050714001046

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. Jacqueline Moran Weber 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
Jacqueline Moran Weber, CNM
1107 E Marshall Ave,
Longview, TX 75601-5602

Ph: (903) 758-2610		Jacqueline Moran Weber, CNM
425 N Fredonia St,
Longview, TX 75601-6464

Ph: (903) 758-2610

Reviews and Comments


Advanced Practice Midwife Nurses in Longview, TX

Jaclyn P Gilliam, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1761 W Loop 281, Longview, TX 75604
Phone: 903-758-2610    Fax: 903-758-7081
Mary Beth Smith, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 705 E Marshall Ave, Suite 3000, Longview, TX 75601
Phone: 903-315-2700    Fax: 903-236-2575
Gabrielle Giselle Misenheimer, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 425 N Fredonia St, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081
Kelly Denise Royce, APRN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1107 E Marshall Ave, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081
Alexandra Dionne Kittrell, APRN, MSN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1107 E Marshall Ave, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081

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.