Marissa Dyanne Weaver, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Streator, IL

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Marissa Dyanne Weaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Streator, Illinois. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Osf Multi-specialty Group and her current practice location is 111 Spring St, Streator, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 673-2311.

Marissa Dyanne Weaver is licensed to practice in Illinois (license number 041-303587) 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 1700110996.

Contact Information

Marissa Dyanne Weaver, CRNA
111 Spring St,
Streator, IL 61364-3332
(815) 673-2311
(815) 673-4592

Map and Direction




Provider's Profile

Full NameMarissa Dyanne Weaver
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location111 Spring St, Streator, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marissa Dyanne Weaver graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1700110996
  • Provider Enumeration Date: 09/22/2009
  • Last Update Date: 09/22/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0941478267
  • Enrollment ID: I20110712000529

Medical Identifiers

Medical identifiers for Marissa Dyanne Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700110996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 041-303587 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint James HospitalPontiac, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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. Marissa Dyanne Weaver allows following entities to bill medicare on her behalf.
Entity NameAssociated Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558306480
PECOS PAC ID: 6305744129
Enrollment ID: O20031230000544
Entity NameSaint James Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790735421
PECOS PAC ID: 0648187252
Enrollment ID: O20040804001073
Entity NameCentral Illinois Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558425462
PECOS PAC ID: 7012944648
Enrollment ID: O20050726000342
Entity NameAnesthesia Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790075489
PECOS PAC ID: 6507930526
Enrollment ID: O20080808000180
Entity NameNormal Bloomington Anesthesiologists, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760754378
PECOS PAC ID: 4385806181
Enrollment ID: O20120424000098
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Marissa Dyanne Weaver 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 AddressPractice Location Address
Marissa Dyanne Weaver, CRNA
1800 E Lake Shore Dr, Suite 2500,
Decatur, IL 62521-3810

Ph: (217) 464-2729		Marissa Dyanne Weaver, CRNA
111 Spring St,
Streator, IL 61364-3332

Ph: (815) 673-2311

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Streator, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.