Mr David Nickolas Weis, LCPC is a
Psychologist based in Forsyth, Illinois. Mr David Nickolas Weis is licensed to practice in Illinois (license number ) and his current practice location is
133 E Cox St, Forsyth, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 423-0750.
NPI number for Mr David Nickolas Weis is 1861503864 and his current mailing address is Box 204, Forsyth, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861503864.
Healthcare Provider's Profile
Full Name | Mr David Nickolas Weis |
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Gender | Male |
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Speciality | Psychologist |
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Location | 133 E Cox St, Forsyth, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861503864
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr David Nickolas Weis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861503864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 0701001960 (Virginia) | Secondary |
103T00000X | Psychologist | (Illinois) | 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. Mr David Nickolas Weis 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 Address | Practice Location Address |
Mr David Nickolas Weis, LCPC Box 204, Forsyth, IL 62535 Ph: (217) 423-0750 | Mr David Nickolas Weis, LCPC 133 E Cox St, Forsyth, IL 62535 Ph: (217) 423-0750 |
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