Mrs Traci Nicole Weaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fowlerville, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Edward W Sparrow Hospital Association and her current practice location is
11250 Heidi Jane Ln, Fowlerville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 294-7553.
Mrs Traci Nicole Weaver is licensed to practice in Michigan (license number 4704272016) 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 1790368157.
Provider's Profile
| Full Name | Mrs Traci Nicole Weaver |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 11250 Heidi Jane Ln, Fowlerville, Michigan |
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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. |
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Medical Education and Training:
- Mrs Traci Nicole Weaver graduated from nursing school in 2023
NPI Data:
- NPI Number: 1790368157
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062868458
- Enrollment ID: I20231020001267
Medical Identifiers
Medical identifiers for Mrs Traci Nicole Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790368157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 4704272016 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Edward W Sparrow Hospital Association | 6709799166 | 633 |
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. Mrs Traci Nicole Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Edward W Sparrow Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366498107
PECOS PAC ID: 6709799166
Enrollment ID: O20040311001138 |
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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. Mrs Traci Nicole 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 |
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Mrs Traci Nicole Weaver, CRNA
11250 Heidi Jane Ln,
Fowlerville, MI 48836-8704
Ph: (517) 294-7553 | Mrs Traci Nicole Weaver, CRNA
11250 Heidi Jane Ln,
Fowlerville, MI 48836-8704
Ph: (517) 294-7553 |
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