Mr Clifford F Weller, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wellsboro, Pennsylvania. His current practice location is
32-36 Central Ave, Wellsboro, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 723-0340.
Mr Clifford F Weller is licensed to practice in Pennsylvania (license number OS011058L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699705269.
Physician's Profile
Full Name | Mr Clifford F Weller |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 32-36 Central Ave, Wellsboro, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699705269
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 07/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 4587859947
- Enrollment ID: I20101110001304
Medical Identifiers
Medical identifiers for Mr Clifford F Weller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699705269 | NPI | - | NPPES |
0018551790001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | OS011058L (Pennsylvania) | Primary |
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. Mr Clifford F Weller allows following entities to bill medicare on his behalf.
Entity Name | Robert Packer Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083614382 PECOS PAC ID: 8022915180 Enrollment ID: O20031217000048 |
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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. Mr Clifford F Weller 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 |
Mr Clifford F Weller, DO 32-36 Central Ave, Wellsboro, PA 16901-1840 Ph: (570) 723-0340 | Mr Clifford F Weller, DO 32-36 Central Ave, Wellsboro, PA 16901-1840 Ph: (570) 723-0340 |
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