Jason Weakley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brattleboro, Vermont. His current practice location is
17 Belmont Ave Ste 1, Brattleboro, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 257-0341.
Jason Weakley is licensed to practice in Vermont (license number 101.0135229) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275818643.
Provider's Profile
| Full Name | Jason Weakley |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 17 Belmont Ave Ste 1, Brattleboro, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275818643
- Provider Enumeration Date: 10/18/2011
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426212333
- Enrollment ID: I20220606002688
Medical Identifiers
Medical identifiers for Jason Weakley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275818643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN2277523 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2277523 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 089456-23 (New Hampshire) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101.0135229 (Vermont) | 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. Jason Weakley allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20201223000259 |
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| Entity Name | Collaborative Anesthesia Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023522455
PECOS PAC ID: 9133482532
Enrollment ID: O20210503001228 |
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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. Jason Weakley 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 Address | Practice Location Address |
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Jason Weakley, CRNA
237 Carver St,
Granby, MA 01033-9503
Ph: () - | Jason Weakley, CRNA
17 Belmont Ave Ste 1,
Brattleboro, VT 05301-3498
Ph: (802) 257-0341 |
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