Ty C Weber, FNP-C in Emmett, ID - Medicare Nurse Practitioner

Ty C Weber, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Emmett, Idaho. 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 1102 E Locust St, Emmett, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 365-6004.

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.

Contact Information

	Ty C Weber, FNP-C
	1102 E Locust St, Emmett, ID 83617-2713
	(208) 365-6004
	Not Available

Map and Direction

Provider's Profile

Full Name	Ty C Weber
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1102 E Locust St, Emmett, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

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: 12/13/2025

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
1457865388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5671037 (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	201808187NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valor Health	Emmett, ID	Hospital
Santiam Hospital	Stayton, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20040514000512

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
Ty C Weber, FNP-C 1102 E Locust St, Emmett, ID 83617-2713 Ph: () -	Ty C Weber, FNP-C 1102 E Locust St, Emmett, ID 83617-2713 Ph: (208) 365-6004

Reviews and Comments

Nurse Practitioner Nurses in Emmett, ID

Amber Mechelle Berger, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068
Debra Anne Phillips, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Locust St, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-4176
Dr. Andrea Walsh, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2020 S Johns Ave Ste B, Emmett, ID 83617 Phone: 208-369-4340 Fax: 208-369-4341
Darcy Renee Cook, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 426 Hwy 16, Emmett, ID 83617 Phone: 208-365-2735 Fax: 208-365-2737
Bobbi Fuller, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 S. Washington Ave, Suite B, Emmett, ID 83617 Phone: 208-740-8808
Lisa Isaksen, NP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 E Locust St, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-3589

Ty C Weber, FNP-C - Medicare Nurse Practitioner in Emmett, ID