Starchild Weivoda, DO is a medicare enrolled "Family Medicine" physician in New Cuyama, California. His current practice location is
4711 Highway 166, New Cuyama, California. You can reach out to his office (for appointments etc.) via phone at
(661) 766-2149.
Starchild Weivoda is licensed to practice in California (license number 18475) 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 1245506195.
Physician's Profile
| Full Name | Starchild Weivoda |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4711 Highway 166, New Cuyama, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245506195
- Provider Enumeration Date: 03/26/2012
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557670577
- Enrollment ID: I20160707001609
Medical Identifiers
Medical identifiers for Starchild Weivoda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245506195 | NPI | - | NPPES |
| 201320520 | Medicaid | IN | |
| 1647495 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 02004645A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 18475 (California) | 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. Starchild Weivoda allows following entities to bill medicare on his behalf.
| Entity Name | Alaska Native Tribal Health Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772 |
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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. Starchild Weivoda 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 |
|---|
Starchild Weivoda, DO
2050 S Blosser Rd,
Santa Maria, CA 93458-7310
Ph: (805) 361-8030 | Starchild Weivoda, DO
4711 Highway 166,
New Cuyama, CA 93254
Ph: (661) 766-2149 |
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