Roberta Weiss, is a medicare enrolled "Nurse Practitioner - Family" in Port Hope, Michigan. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deckerville Community Hospital, Inc, List Psychological Services, Plc and her current practice location is
3363 Karg Rd, Port Hope, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 434-3081.
Roberta Weiss is licensed to practice in Michigan (license number 4704169487) 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 1649638404.
Provider's Profile
| Full Name | Roberta Weiss |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 3363 Karg Rd, Port Hope, Michigan |
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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:
- Roberta Weiss graduated from nursing school in 2013
NPI Data:
- NPI Number: 1649638404
- Provider Enumeration Date: 02/08/2016
- Last Update Date: 02/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577842848
- Enrollment ID: I20161213000788
Medical Identifiers
Medical identifiers for Roberta Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649638404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704169487 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Deckerville Community Hospital, Inc | 2163508821 | 10 |
| List Psychological Services, Plc | 6709799323 | 25 |
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. Roberta Weiss allows following entities to bill medicare on her behalf.
| Entity Name | List Psychological Services, Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336176031
PECOS PAC ID: 6709799323
Enrollment ID: O20031110000689 |
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| Entity Name | Deckerville Community Hospital, Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1164540555
PECOS PAC ID: 2163508821
Enrollment ID: O20110523000767 |
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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. Roberta Weiss 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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Roberta Weiss,
3363 Karg Rd,
Port Hope, MI 48468-9300
Ph: (810) 434-3081 | Roberta Weiss,
3363 Karg Rd,
Port Hope, MI 48468-9300
Ph: (810) 434-3081 |
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