Jaclyn Weber, PA is a medicare enrolled "Physician Assistant" in New Boston, Michigan. She went to Wayne State University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Medpro Primary Care Pllc and her current practice location is
17901 Huron River Dr, New Boston, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 315-7070.
Jaclyn Weber is licensed to practice in Michigan (license number 5601010586) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992371702.
Provider's Profile
| Full Name | Jaclyn Weber |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 17901 Huron River Dr, New Boston, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Jaclyn Weber attended and graduated from Wayne State University School Of Medicine in 2021
NPI Data:
- NPI Number: 1992371702
- Provider Enumeration Date: 06/02/2021
- Last Update Date: 04/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870994817
- Enrollment ID: I20210628002039
Medical Identifiers
Medical identifiers for Jaclyn Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992371702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5601010586 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medpro Primary Care Pllc | 7416386404 | 6 |
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. Jaclyn Weber 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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Jaclyn Weber, PA
16825 Abby Cir,
Northville, MI 48168-4303
Ph: (248) 444-9097 | Jaclyn Weber, PA
17901 Huron River Dr,
New Boston, MI 48164-3200
Ph: (734) 315-7070 |
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