Dr Michael James Weaver, MD | |
553 Kingstown Rd, Wakefield, RI 02879-3600 | |
(401) 304-9111 | |
(401) 284-0625 |
Full Name | Dr Michael James Weaver |
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Gender | Male |
Speciality | Family Medicine |
Location | 553 Kingstown Rd, Wakefield, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215995097 | NPI | - | NPPES |
MW01082 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 05003 (Rhode Island) | Secondary |
207Q00000X | Family Medicine | 5003 (Rhode Island) | Primary |
Entity Name | Victa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104317007 PECOS PAC ID: 0840620894 Enrollment ID: O20200415002461 |
Mailing Address | Practice Location Address |
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Dr Michael James Weaver, MD 553 Kingstown Rd, Wakefield, RI 02879-3600 Ph: (401) 304-9111 | Dr Michael James Weaver, MD 553 Kingstown Rd, Wakefield, RI 02879-3600 Ph: (401) 304-9111 |
Ulana V. Farmer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 Kingstown Rd, Wakefield, RI 02879 Phone: 401-789-0283 Fax: 401-789-0314 | |
Christopher Ryan Klaus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 River St, Thundermist Of South County, Wakefield, RI 02879 Phone: 401-783-0523 | |
David Robert Tomlinson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Charlotte May Harwood Moriarty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 High St, Wakefield, RI 02879 Phone: 401-789-1422 Fax: 401-782-6810 | |
Mark C. Zullo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 211, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Dr. Eva Klonowski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-783-0523 Fax: 401-783-9448 | |
Dr. Jamiel J Ambrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Kingstown Rd, Unit B5, Wakefield, RI 02879 Phone: 401-783-1022 Fax: 401-783-4004 |