Ms Kristine Marie Weaver, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Culver, Indiana. Her current practice location is
232 S Main St Ste A, Culver, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 335-7780.
Ms Kristine Marie Weaver is licensed to practice in Indiana (license number 71002758A) 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 1437309838.
Provider's Profile
| Full Name | Ms Kristine Marie Weaver |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 232 S Main St Ste A, Culver, Indiana |
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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: 1437309838
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 11/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0648329086
- Enrollment ID: I20090514000306
Medical Identifiers
Medical identifiers for Ms Kristine Marie Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437309838 | NPI | - | NPPES |
| 187720061 | Other | IN | MEDICARE |
| 000000878284 | Other | IN | BCBS |
| P01942591 | Other | IN | RR MEDICARE |
| 000001170309 | Other | IN | BCBS (ELM RD) |
| 200936570 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 71002758A (Indiana) | Primary |
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. Ms Kristine Marie Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Riverview Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609074921
PECOS PAC ID: 1153216627
Enrollment ID: O20040216000572 |
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| Entity Name | Healogics Specialty Physicians Of Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396145975
PECOS PAC ID: 3678874567
Enrollment ID: O20151218000074 |
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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. Ms Kristine Marie 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 |
|---|
Ms Kristine Marie Weaver, FNP-BC
707 Cedar St Ste 200,
South Bend, IN 46617-2057
Ph: (574) 335-8707 | Ms Kristine Marie Weaver, FNP-BC
232 S Main St Ste A,
Culver, IN 46511
Ph: (574) 335-7780 |
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