Stephen J Weidner, in Coudersport, PA - Medicare Nurse Practitioner

Stephen J Weidner, is a medicare enrolled "Nurse Practitioner - Family" in Coudersport, Pennsylvania. His current practice location is 1001 E 2nd St, Coudersport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 274-9300.

Stephen J Weidner is licensed to practice in Pennsylvania (license number SP026710) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235848524.

Contact Information

	Stephen J Weidner,
	1001 E 2nd St, Coudersport, PA 16915-8161
	(814) 274-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephen J Weidner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1001 E 2nd St, Coudersport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235848524
Provider Enumeration Date: 11/16/2022
Last Update Date: 12/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5193268472
Enrollment ID: I20240614001082

Medical Identifiers

Medical identifiers for Stephen J Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235848524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN604759 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	SP026710 (Pennsylvania)	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. Stephen J Weidner allows following entities to bill medicare on his behalf.

Entity Name	General Physician Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154

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. Stephen J Weidner 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
Stephen J Weidner, 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300	Stephen J Weidner, 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300

Reviews and Comments

Nurse Practitioner Nurses in Coudersport, PA

Victoria Copp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300
Ms. Amanda Marie Swanson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5208
Jackie D Sprow, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5320
Amanda Budd, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300

Stephen J Weidner, - Medicare Nurse Practitioner in Coudersport, PA