Wallace Nicholas Weber, MD is a
Dermatology physician based in Dorrance, Kansas. Wallace Nicholas Weber is licensed to practice in Kansas (license number 0414492) and his current practice location is 19748 Michaelis Road, Dorrance, Kansas. He can be reached at his office (for appointments etc.) via phone at
(785) 666-4341.
NPI number for Wallace Nicholas Weber is 1104929553 and his current mailing address is 19748 Michaelis Road, Dorrance, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104929553.
Physician's Profile
Full Name | Wallace Nicholas Weber |
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Gender | Male |
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Speciality | Dermatology |
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Location | 19748 Michaelis Road, Dorrance, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104929553
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 11/19/2009
Medical Identifiers
Medical identifiers for Wallace Nicholas Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104929553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 0414492 (Kansas) | Primary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 0414492 (Kansas) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 0414492 (Kansas) | Secondary |
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. Wallace Nicholas Weber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wallace Nicholas Weber, MD 19748 Michaelis Road, Dorrance, KS 67634 Ph: (785) 666-4341 | Wallace Nicholas Weber, MD 19748 Michaelis Road, Dorrance, KS 67634 Ph: (785) 666-4341 |
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