Samuel H Weatherford, PA-C - Physician Assistant in Wallace, NC

Samuel H Weatherford, PA-C is a Physician Assistant - Medical based in Wallace, North Carolina. Samuel H Weatherford is licensed to practice in North Carolina (license number 0010-05179) and his current practice location is 112 Medical Village Dr Ste F, Wallace, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 285-0940.

NPI number for Samuel H Weatherford is 1508075896 and his current mailing address is 112 Medical Village Dr Ste F, Wallace, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508075896.

Contact Information

Samuel H Weatherford, PA-C
112 Medical Village Dr Ste F,
Wallace, NC 28466-1665
(910) 285-0940
(910) 285-1825

Map and Direction




Provider's Profile

Full NameSamuel H Weatherford
GenderMale
SpecialityPhysician Assistant - Medical
Location112 Medical Village Dr Ste F, Wallace, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508075896
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/26/2024

Medical Identifiers

Medical identifiers for Samuel H Weatherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508075896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-05179 (North Carolina)Secondary
363AS0400XPhysician Assistant - Surgical 656 (South Carolina)Secondary
363AM0700XPhysician Assistant - Medical 0010-05179 (North Carolina)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. Samuel H Weatherford 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 AddressPractice Location Address
Samuel H Weatherford, PA-C
112 Medical Village Dr Ste F,
Wallace, NC 28466-1665

Ph: (910) 285-0940
Samuel H Weatherford, PA-C
112 Medical Village Dr Ste F,
Wallace, NC 28466-1665

Ph: (910) 285-0940

Reviews and Comments


Physician Assistant Nurses in Wallace, NC

Carrie Kyper Royer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 River Vine Pkwy, Wallace, NC 28466
Phone: 910-285-2134    Fax: 910-285-4610
Lori Hartley, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 120 Medical Village Dr, Wallace, NC 28466
Phone: 910-285-2330    
Kern Lee Barrow, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 112 Medical Village Dr, Suite G, Wallace, NC 28466
Phone: 910-285-0333    Fax: 910-285-0336

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.