Mitchell Ross Weaver, MD - Medicare Vascular Surgery in Detroit, MI

Mitchell Ross Weaver, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Detroit, Michigan. He went to Ohio State University College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Henry Ford Medical Group and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-3156.

Mitchell Ross Weaver is licensed to practice in Michigan (license number 4301069776) 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 1033191994.

Contact Information

Mitchell Ross Weaver, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608
(313) 916-3156
(313) 916-3023



Physician's Profile

Full NameMitchell Ross Weaver
GenderMale
SpecialityVascular Surgery
Experience27 Years
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mitchell Ross Weaver attended and graduated from Ohio State University College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1033191994
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345220265
  • Enrollment ID: I20070308000107

Medical Identifiers

Medical identifiers for Mitchell Ross Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033191994NPI-NPPES
2497463MedicaidOH
7030574OtherAETNA PROVIDER ID#
000000329893OtherOHANTHEM BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 35-084264 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 4301069776 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095

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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. Mitchell Ross Weaver allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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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. Mitchell Ross Weaver 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 AddressPractice Location Address
Mitchell Ross Weaver, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 916-3156
Mitchell Ross Weaver, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 916-3156

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Surgery Doctors in Detroit, MI

Kaitlyn Dobesh, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Dr. Bellal Ali Joseph, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-3056    Fax: 313-916-9920
Charles Edward Lucas, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201
Phone: 313-745-4195    Fax: 313-993-8669
Christopher Paul Cassell, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 22101 Moross Rd, Detroit, MI 48236
Phone: 313-343-4000    
Alexander Marinica,
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Medicare: Accepting Medicare Assignments
Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235
Phone: 313-966-3222    
Dr. Rachel Wobig, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-5071    Fax: 313-916-9920

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