Ted W Weatherred, MD - Medicare Anesthesiology in Augusta, GA

Ted W Weatherred, MD is a medicare enrolled "Anesthesiology" physician in Augusta, Georgia. His current practice location is 1120 15th St, Room 2144, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-3873.

Ted W Weatherred is licensed to practice in Georgia (license number 034979) 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 1063583763.

Contact Information

Ted W Weatherred, MD
1120 15th St, Room 2144,
Augusta, GA 30912-0004
(706) 721-3873
(706) 721-7763



Physician's Profile

Full NameTed W Weatherred
GenderMale
SpecialityAnesthesiology
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063583763
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 06/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7214123033
  • Enrollment ID: I20180605002402

Medical Identifiers

Medical identifiers for Ted W Weatherred such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063583763NPI-NPPES
550789920OtherGATRICARE
339267OtherGAWELLCARE CMO
480929OtherGABCBS
050031131OtherGARRMEDICARE
000542165BMedicaidGA
000542165CMedicaidGA
G34979MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 034979 (Georgia)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. Ted W Weatherred allows following entities to bill medicare on his behalf.
Entity NameAu Medical Associates Anesthesia Billing Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801843933
PECOS PAC ID: 1557256393
Enrollment ID: O20040219000488

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Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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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. Ted W Weatherred 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
Ted W Weatherred, MD
Po Box 28068,
Chattanooga, TN 37424-8068

Ph: (877) 899-1033
Ted W Weatherred, MD
1120 15th St, Room 2144,
Augusta, GA 30912-0004

Ph: (706) 721-3873

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Anesthesiology Doctors in Augusta, GA

Rosa Maria Lopez Rincon,
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-446-5836    
Yulia Kungurova, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912
Phone: 706-721-0180    
Richard E. Lynch, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907
Phone: 800-394-4445    Fax: 706-955-0735
Dr. Edward Kurt Leahy,
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Freedom Way, Augusta, GA 30904
Phone: 706-733-0188    
Dr. Marshall D. Bedder, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-3813    
Dr. John William Whiteley, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-3873    Fax: 706-721-7763
Sami Mohammad Hafsa, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-3871    

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