| Jeremy Blake Weaver, PA | |
|
620 Broadway St, Van Buren, AR 72956-5830 | |
| (479) 474-5061 | |
| (479) 922-2007 |
| Full Name | Jeremy Blake Weaver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 620 Broadway St, Van Buren, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790014447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA06492 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA-843 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sophia Meyer Family Medicine Llc | 9537317219 | 3 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Blake Weaver, PA 620 Broadway St, Van Buren, AR 72956-5830 Ph: (479) 474-5061 | Jeremy Blake Weaver, PA 620 Broadway St, Van Buren, AR 72956-5830 Ph: (479) 474-5061 |
Mary A Linn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 Fax: 479-922-2007 | |
Ceth L Dawson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St, Van Buren, AR 72956 Phone: 479-262-2724 |