Jere H Weaver, MD | |
722 Bank St Ne, Decatur, AL 35601-1610 | |
(256) 351-1874 | |
(256) 351-1876 |
Full Name | Jere H Weaver |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 722 Bank St Ne, Decatur, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265436067 | NPI | - | NPPES |
51025264 | Other | AL | BLUE CROSS PROVIDER NUMBE |
009912888 | Medicaid | AL | |
4585899 | Other | AL | AETNA PROVIDER NUMBER |
01-12771 | Other | AL | UNITED HEALTH |
010050478 | Other | AL | MEDICARE RAILROAD RETIREE |
515-97711 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 11631 (Alabama) | Primary |
Entity Name | Jere H. Weaver Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851573778 PECOS PAC ID: 1658321989 Enrollment ID: O20050125000607 |
Mailing Address | Practice Location Address |
---|---|
Jere H Weaver, MD 722 Bank St Ne, Decatur, AL 35601-1610 Ph: (256) 351-1874 | Jere H Weaver, MD 722 Bank St Ne, Decatur, AL 35601-1610 Ph: (256) 351-1874 |
Dr. Joseph Thomas Backe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1203 Medical Dr Se, Decatur, AL 35601 Phone: 256-350-2875 Fax: 256-350-6228 | |
Samantha S Wyatt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 620 Walnut St Ne, Suite A, Decatur, AL 35601 Phone: 256-353-7775 Fax: 256-353-7765 | |
Dr. James L Reeder Sr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1310 Somerville Rd Se, Decatur, AL 35601 Phone: 256-350-2550 Fax: 256-350-9739 |