Timothy Vanderweide, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scott City, Kansas. His current practice location is
201 Albert Ave, Scott City, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 872-5811.
Timothy Vanderweide is licensed to practice in Kansas (license number 557379) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023482072.
Provider's Profile
| Full Name | Timothy Vanderweide |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 201 Albert Ave, Scott City, Kansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Timothy Vanderweide attended and graduated from in
NPI Data:
- NPI Number: 1023482072
- Provider Enumeration Date: 11/13/2015
- Last Update Date: 12/28/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Timothy Vanderweide such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023482072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 13-112281-051 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557379 (Kansas) | 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. Timothy Vanderweide 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 |
|---|
Timothy Vanderweide, CRNA
201 Albert Ave,
Scott City, KS 67871
Ph: (620) 872-5811 | Timothy Vanderweide, CRNA
201 Albert Ave,
Scott City, KS 67871
Ph: (620) 872-5811 |
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