Leon D Weaver, MD | |
1161 Omega Dr, Hagerstown, MD 21740-5574 | |
(301) 393-2600 | |
(301) 393-2614 |
Full Name | Leon D Weaver |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1161 Omega Dr, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255323119 | NPI | - | NPPES |
982000100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | D57280 (Maryland) | Primary |
208000000X | Pediatrics | D57280 (Maryland) | Secondary |
Entity Name | Medical Practices Of Antietam, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Leon D Weaver, MD 1161 Omega Dr, Hagerstown, MD 21740-5574 Ph: (301) 393-2600 | Leon D Weaver, MD 1161 Omega Dr, Hagerstown, MD 21740-5574 Ph: (301) 393-2600 |
Dr. Albert John Strauss Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 E Antietam St, Hagerstown, MD 21740 Phone: 301-790-3620 Fax: 301-797-2863 | |
Dr. Naheed F Saif, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Mill St, Hagerstown, MD 21740 Phone: 240-420-0333 Fax: 240-420-0113 | |
Dr. Bruce Edward Weneck, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Memorial Blvd W, Hagerstown, MD 21740 Phone: 301-791-7060 Fax: 301-791-8990 | |
Dr. Paul Joseph Andrew Hennis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 S Cleveland Ave, Hagerstown, MD 21740 Phone: 301-745-3777 | |
Chukwuemeka Obidi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 303 Memorial Blvd W, Hagerstown, MD 21740 Phone: 301-791-7060 Fax: 301-791-8990 | |
Dr. Atchuthanand Budi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Opal Court, Hagerstown, MD 21740 Phone: 301-791-6666 Fax: 301-791-4549 |