Mr Justin Mark Weaver, PA-C is a
Physician Assistant based in Dingmans Ferry, Pennsylvania. Mr Justin Mark Weaver is licensed to practice in Pennsylvania (license number MA061373) and his current practice location is
1592 Route 739, Dingmans Ferry, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 828-8000.
NPI number for Mr Justin Mark Weaver is 1245868496 and his current mailing address is 336 Everly Rd, Lake Ariel, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245868496.
Provider's Profile
| Full Name | Mr Justin Mark Weaver |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1592 Route 739, Dingmans Ferry, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245868496
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 03/31/2020
Medical Identifiers
Medical identifiers for Mr Justin Mark Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245868496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | OA005167 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA061373 (Pennsylvania) | 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. Mr Justin Mark 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 |
|---|
Mr Justin Mark Weaver, PA-C
336 Everly Rd,
Lake Ariel, PA 18436-5730
Ph: (973) 803-6908 | Mr Justin Mark Weaver, PA-C
1592 Route 739,
Dingmans Ferry, PA 18328-3513
Ph: (570) 828-8000 |
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