| Jordan Carl Weber, PA-C | |
|
513 3rd St Sw, Wagner, SD 57380-9675 | |
| (605) 384-3418 | |
| (605) 384-5240 |
| Full Name | Jordan Carl Weber |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 513 3rd St Sw, Wagner, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427322957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0959 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagner Community Memorial Hospital | 3577459700 | 17 |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326030974 PECOS PAC ID: 3577459700 Enrollment ID: O20061104000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Carl Weber, PA-C 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418 | Jordan Carl Weber, PA-C 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418 |
Mrs. Deborah M Hubley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 |
Michelle Olson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 |
Ms. Karen M Schleiger, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 |