Marissa Dyanne Weaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Streator, Illinois. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Osf Multi-specialty Group and her current practice location is
111 Spring St, Streator, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 673-2311.
Marissa Dyanne Weaver is licensed to practice in Illinois (license number 041-303587) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700110996.
Provider's Profile
| Full Name | Marissa Dyanne Weaver |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 16 Years |
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| Location | 111 Spring St, Streator, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marissa Dyanne Weaver graduated from nursing school in 2009
NPI Data:
- NPI Number: 1700110996
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 09/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 0941478267
- Enrollment ID: I20110712000529
Medical Identifiers
Medical identifiers for Marissa Dyanne Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700110996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 041-303587 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osf Multi-specialty Group | 3678889789 | 1848 |
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. Marissa Dyanne Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Associated Anesthesiologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
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| Entity Name | Saint James Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
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| Entity Name | Central Illinois Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20050726000342 |
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| Entity Name | Anesthesia Pain Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Marissa Dyanne 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 Address | Practice Location Address |
Marissa Dyanne Weaver, CRNA 1800 E Lake Shore Dr, Suite 2500, Decatur, IL 62521-3810 Ph: (217) 464-2729 | Marissa Dyanne Weaver, CRNA 111 Spring St, Streator, IL 61364-3332 Ph: (815) 673-2311 |
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