Ty C Weber, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Aumsville, Oregon. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Walter Knox Memorial Hospital and his current practice location is
205 Main St, Aumsville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 749-4734.
Ty C Weber is licensed to practice in Oregon (license number 201808187NP-PP) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457865388.
Provider's Profile
| Full Name | Ty C Weber |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 205 Main St, Aumsville, Oregon |
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| Accepts Medicare Assignments | Yes. He 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:
- Ty C Weber graduated from nursing school in 2018
NPI Data:
- NPI Number: 1457865388
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507101896
- Enrollment ID: I20250212002865
Medical Identifiers
Medical identifiers for Ty C Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457865388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5671037 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201808187NP-PP (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Walter Knox Memorial Hospital | 7012907785 | 16 |
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. Ty C Weber allows following entities to bill medicare on his behalf.
| Entity Name | Walter Knox Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063419018
PECOS PAC ID: 7012907785
Enrollment ID: O20040514000512 |
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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. Ty C Weber 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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Ty C Weber, FNP-C
1102 E Locust St,
Emmett, ID 83617-2713
Ph: () - | Ty C Weber, FNP-C
205 Main St,
Aumsville, OR 97325
Ph: (503) 749-4734 |
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