William Jackson Weaver, MD is a
General Practice physician based in Lake Village, Arkansas. William Jackson Weaver is licensed to practice in Arkansas (license number C-2361) and his current practice location is 1754 Lake Hall Road, Lake Village, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 265-2669.
NPI number for William Jackson Weaver is 1114259041 and his current mailing address is 1754 Lake Hall Road, Lake Village, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114259041.
Physician's Profile
Full Name | William Jackson Weaver |
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Gender | Male |
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Speciality | General Practice |
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Location | 1754 Lake Hall Road, Lake Village, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114259041
- Provider Enumeration Date: 02/03/2010
- Last Update Date: 11/03/2024
Medical Identifiers
Medical identifiers for William Jackson Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114259041 | NPI | - | NPPES |
101402001/W-38 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | C-2361 (Arkansas) | Primary |
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. William Jackson Weaver 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 |
William Jackson Weaver, MD 1754 Lake Hall Road, Lake Village, AR 71653 Ph: (870) 265-2669 | William Jackson Weaver, MD 1754 Lake Hall Road, Lake Village, AR 71653 Ph: (870) 265-2669 |
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