Mrs Angela Fisher-weaver, PA-C is a medicare enrolled "Physician Assistant" in Squaw Valley, California. Her current practice location is
35591 E Kings Canyon Rd Ste B, Squaw Valley, California. You can reach out to her office (for appointments etc.) via phone at
(559) 903-7221.
Mrs Angela Fisher-weaver is licensed to practice in California (license number PA21144) 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 1669780722.
Provider's Profile
| Full Name | Mrs Angela Fisher-weaver |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 35591 E Kings Canyon Rd Ste B, Squaw Valley, California |
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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: 1669780722
- Provider Enumeration Date: 09/22/2010
- Last Update Date: 10/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335322502
- Enrollment ID: I20110324000999
Medical Identifiers
Medical identifiers for Mrs Angela Fisher-weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669780722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA-1513 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 14191875-1206 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-918 (Wyoming) | Secondary |
| 363A00000X | Physician Assistant | PA21144 (California) | Primary |
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. Mrs Angela Fisher-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 |
|---|
Mrs Angela Fisher-weaver, PA-C
35591 E Kings Canyon Rd Ste B,
Squaw Valley, CA 93675-9651
Ph: (559) 903-7221 | Mrs Angela Fisher-weaver, PA-C
35591 E Kings Canyon Rd Ste B,
Squaw Valley, CA 93675-9651
Ph: (559) 903-7221 |
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