Mr Micah James Weller, FNP in Pomona, CA - Medicare Nurse Practitioner

Mr Micah James Weller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pomona, California. Her current practice location is 1880 N Orange Grove Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 620-7200.

Mr Micah James Weller is licensed to practice in California (license number 95005719) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629514153.

Contact Information

	Mr Micah James Weller, FNP
	1880 N Orange Grove Ave, Pomona, CA 91767-3006
	(909) 620-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Micah James Weller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1880 N Orange Grove Ave, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629514153
Provider Enumeration Date: 01/08/2017
Last Update Date: 02/12/2020

Medicare PECOS Information:

PECOS PAC ID: 5799057048
Enrollment ID: I20170821002584

Medical Identifiers

Medical identifiers for Mr Micah James Weller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629514153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005719 (California)	Primary

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. Mr Micah James Weller allows following entities to bill medicare on her behalf.

Entity Name	Southern California Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499

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 Micah James Weller 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
Mr Micah James Weller, FNP 840 Towne Center Dr, Pomona, CA 91767-5900 Ph: (909) 398-1550	Mr Micah James Weller, FNP 1880 N Orange Grove Ave, Pomona, CA 91767-3006 Ph: (909) 620-7200

Reviews and Comments

Nurse Practitioner Nurses in Pomona, CA

Michael Marinello, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-643-2980
Rohan Bassi, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767 Phone: 909-623-8796 Fax: 909-623-3076
Patrick Alonzo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-623-2100
Raquel C Rulloda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581
Shellee Reese, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Royalty Dr, Pomona, CA 91767 Phone: 909-865-9901
Ivy Lien Yin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N Garey Ave, Pomona, CA 91767 Phone: 909-622-1235
Lijuan Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 E Holt Ave, Pomona, CA 91767 Phone: 909-629-8088 Fax: 909-629-8755

Mr Micah James Weller, FNP - Medicare Nurse Practitioner in Pomona, CA