Dewayne Lynn Weaver, MD | |
320 Warner Dr, Lewiston, ID 83501-4441 | |
(208) 743-3523 | |
(208) 746-8741 |
Full Name | Dewayne Lynn Weaver |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 15 Years |
Location | 320 Warner Dr, Lewiston, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265674071 | NPI | - | NPPES |
1265674071 | Medicaid | WA | |
1265674071 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD60798747 (Washington) | Secondary |
207X00000X | Orthopaedic Surgery | M-14024 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Dayton General Hospital | Dayton, WA | Hospital |
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Catalyst Medical Group Pllc | 2365722105 | 37 |
Catalyst Medical Group Pllc | 2365722105 | 37 |
Entity Name | Catalyst Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
Mailing Address | Practice Location Address |
---|---|
Dewayne Lynn Weaver, MD 320 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 743-3523 | Dewayne Lynn Weaver, MD 320 Warner Dr, Lewiston, ID 83501-4441 Ph: (208) 743-3523 |
Dr. Ned Richard Schroeder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Bryan James Beardsley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8471 | |
Dr. Gregory Dean Dietrich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Drive, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Regan Bennett Hansen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
John Adam Jelinek, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 | |
Dr. Steven Randolph Boyea, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 208-746-8741 |