Mr Michael Don Weaver, DDS is a
Dentist based in Lone Grove, Oklahoma. Mr Michael Don Weaver is licensed to practice in Oklahoma (license number 4275) and his current practice location is
16931 Hwy 70, Lone Grove, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 657-3117.
NPI number for Mr Michael Don Weaver is 1104978428 and his current mailing address is Po Box 1270, 16931 Hwy 70, Lone Grove, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104978428.
Healthcare Provider's Profile
| Full Name | Mr Michael Don Weaver |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 16931 Hwy 70, Lone Grove, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104978428
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael Don Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104978428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 4275 (Oklahoma) | Primary |
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. Mr Michael Don Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Michael Don Weaver, DDS
Po Box 1270, 16931 Hwy 70,
Lone Grove, OK 73443-1270
Ph: (580) 657-3117 | Mr Michael Don Weaver, DDS
16931 Hwy 70,
Lone Grove, OK 73443-1270
Ph: (580) 657-3117 |
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