Theodore I Weitz, MD is a medicare enrolled "Emergency Medicine" physician in Petersburg, West Virginia. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is
117 Hospital Dr, Petersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 257-1026.
Theodore I Weitz is licensed to practice in New Hampshire (license number LT-1161) 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 1356398952.
Physician's Profile
| Full Name | Theodore I Weitz |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 40 Years |
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| Location | 117 Hospital Dr, Petersburg, West Virginia |
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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:
- Theodore I Weitz graduated from medical school in 1984
NPI Data:
- NPI Number: 1356398952
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789658915
- Enrollment ID: I20210315000915
Medical Identifiers
Medical identifiers for Theodore I Weitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356398952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 25991 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 2005030572 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | MD2008-0651 (New Mexico) | Secondary |
| 207P00000X | Emergency Medicine | 18315 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 212862 (Massachusetts) | Secondary |
| 208D00000X | General Practice | 18315 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | LT-1161 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| City Medical Of Upper East Side Pllc | 0648465039 | 737 |
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. Theodore I Weitz allows following entities to bill medicare on his behalf.
| Entity Name | City Medical Of Upper East Side Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052 |
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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. Theodore I Weitz 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 |
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Theodore I Weitz, MD
240 S Main St,
Wolfeboro, NH 03894-4411
Ph: (603) 569-7500 | Theodore I Weitz, MD
117 Hospital Dr,
Petersburg, WV 26847-9566
Ph: (304) 257-1026 |
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