Marissa Dyanne Weaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Streator, Illinois. 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.
Provider's Profile
| Full Name | Marissa Dyanne Weaver |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 111 Spring St, Streator, Illinois |
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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:
- Marissa Dyanne Weaver attended and graduated from in
NPI Data:
- NPI Number: 1700110996
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 09/22/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Marissa Dyanne Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700110996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 041-303587 (Illinois) | 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. 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 Address | Practice Location Address |
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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 |
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