Rebecca J Weaver, is a medicare enrolled "Nurse Practitioner" provider in Peoria, Illinois. She went to Rush Medical College Of Rush University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is
600 Fayette St, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 671-8019.
Rebecca J Weaver is licensed to practice in Illinois (license number 209008803) 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 1932497922.
Healthcare Provider's Profile
| Full Name | Rebecca J Weaver |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 600 Fayette St, Peoria, Illinois |
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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:
- Rebecca J Weaver attended and graduated from Rush Medical College Of Rush University in 2010
NPI Data:
- NPI Number: 1932497922
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 05/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 5496929622
- Enrollment ID: I20111128000015
Medical Identifiers
Medical identifiers for Rebecca J Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932497922 | NPI | - | NPPES |
| 209008803 | Other | IL | DIVISION OF PROFESSIONAL REGULATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 209008803 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 209008803 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209008803 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osf Multi-specialty Group | 3678889789 | 1552 |
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. Rebecca J Weaver allows following entities to bill medicare on her behalf.
| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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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. Rebecca J 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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Rebecca J Weaver,
Po Box 1346,
Peoria, IL 61654-1346
Ph: () - | Rebecca J Weaver,
600 Fayette St,
Peoria, IL 61603-3610
Ph: (309) 671-8019 |
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