Dr John Bennett Weaver Ii, MD | |
1906 Glenn Blvd Sw, Fort Payne, AL 35968-3545 | |
(256) 845-7555 | |
(256) 845-4499 |
Full Name | Dr John Bennett Weaver Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1906 Glenn Blvd Sw, Fort Payne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689638058 | NPI | - | NPPES |
009951580 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 00013008 (Alabama) | Primary |
Entity Name | Southeast Cancer Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962459073 PECOS PAC ID: 0143119990 Enrollment ID: O20040311000554 |
Mailing Address | Practice Location Address |
---|---|
Dr John Bennett Weaver Ii, MD 189 Gourge Rd, Henagar, AL 35978-5119 Ph: (205) 300-2710 | Dr John Bennett Weaver Ii, MD 1906 Glenn Blvd Sw, Fort Payne, AL 35968-3545 Ph: (256) 845-7555 |
Dr. Carmelo Cabalu Mendiola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Road Sw, Suite 500, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-2834 | |
Dr. Daniel Martin Mince, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-997-2820 Fax: 256-997-2890 | |
Dr. Thomas Dalsgaard Nielsen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-997-2820 | |
Dr. Wael Al-halaseh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-9255 Fax: 256-845-9349 | |
Dr. Luz Jovita Crystal, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2202 Jordan Road Sw, Suite 500, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-2834 | |
Dr. Frederico Yambao Fernandez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2804 Greenhill Blvd Nw, Suite 101, Fort Payne, AL 35968 Phone: 256-845-0023 Fax: 256-845-0238 |