William Jackson Weaver, MD in Lake Village, AR - General Practice

William Jackson Weaver, MD is a General Practice physician based in Lake Village, Arkansas. William Jackson Weaver is licensed to practice in Arkansas (license number C-2361) and his current practice location is 1754 Lake Hall Road, Lake Village, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 265-2669.

NPI number for William Jackson Weaver is 1114259041 and his current mailing address is 1754 Lake Hall Road, Lake Village, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114259041.

Contact Information

	William Jackson Weaver, MD
	1754 Lake Hall Road, Lake Village, AR 71653
	(870) 265-2669
	Not Available

Physician's Profile

Full Name	William Jackson Weaver
Gender	Male
Speciality	General Practice
Location	1754 Lake Hall Road, Lake Village, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114259041
Provider Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010

Medical Identifiers

Medical identifiers for William Jackson Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114259041	NPI	-	NPPES
101402001/W-38	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	C-2361 (Arkansas)	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. William Jackson Weaver 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
William Jackson Weaver, MD 1754 Lake Hall Road, Lake Village, AR 71653 Ph: (870) 265-2669	William Jackson Weaver, MD 1754 Lake Hall Road, Lake Village, AR 71653 Ph: (870) 265-2669

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William Jackson Weaver, MD - General Practice in Lake Village, AR