Dr Thomas E Weldon, MD is a medicare enrolled "Urology" physician in Clarksdale, Mississippi. He went to Rutgers New Jersey Medical School and graduated in 1972 and has 52 years of diverse experience with area of expertise as Urology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is
785 Ohio Ave, Suite 3e, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 624-5621.
Dr Thomas E Weldon is licensed to practice in Mississippi (license number 09380) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215929104.
Physician's Profile
| Full Name | Dr Thomas E Weldon |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 52 Years |
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| Location | 785 Ohio Ave, Clarksdale, Mississippi |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Thomas E Weldon attended and graduated from Rutgers New Jersey Medical School in 1972
NPI Data:
- NPI Number: 1215929104
- Provider Enumeration Date: 08/17/2005
- Last Update Date: 04/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 0446375471
- Enrollment ID: I20100915000220
Medical Identifiers
Medical identifiers for Dr Thomas E Weldon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215929104 | NPI | - | NPPES |
| 00019972 | Medicaid | MS | |
| 04371729 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 09380 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
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. Dr Thomas E Weldon allows following entities to bill medicare on his behalf.
| Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575 |
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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. Dr Thomas E Weldon 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 |
|---|
Dr Thomas E Weldon, MD
785 Ohio Ave, 3e,
Clarksdale, MS 38614-6217
Ph: (662) 624-3435 | Dr Thomas E Weldon, MD
785 Ohio Ave, Suite 3e,
Clarksdale, MS 38614-6217
Ph: (662) 624-5621 |
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