Mrs Tatum Rebecca Weber, LPN is a
Licensed Practical Nurse based in Ridgeland, South Carolina. Mrs Tatum Rebecca Weber is licensed to practice in Ohio (license number PN133569-IV) and her current practice location is
124 Boardwalk Dr Ste A, Ridgeland, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 645-2770.
NPI number for Mrs Tatum Rebecca Weber is 1063000420 and her current mailing address is 124 Boardwalk Dr Ste A, Ridgeland, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063000420.
Provider's Profile
Full Name | Mrs Tatum Rebecca Weber |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 124 Boardwalk Dr Ste A, Ridgeland, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063000420
- Provider Enumeration Date: 01/01/2021
- Last Update Date: 05/06/2025
Medical Identifiers
Medical identifiers for Mrs Tatum Rebecca Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063000420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN133569-IV (Ohio) | 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 Tatum Rebecca Weber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tatum Rebecca Weber, LPN 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 Ph: (843) 645-2770 | Mrs Tatum Rebecca Weber, LPN 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 Ph: (843) 645-2770 |
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