Jack Gilbert Weiss, CRNA - Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Jack Gilbert Weiss, CRNA is a Nurse Anesthetist, Certified Registered based in Flagstaff, Arizona. Jack Gilbert Weiss is licensed to practice in Arizona (license number CRNA0011) and his current practice location is 77 W Forest Ave, Suite 207, Flagstaff, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 773-2505.

NPI number for Jack Gilbert Weiss is 1174534754 and his current mailing address is 77 W Forest Ave, Suite 207, Flagstaff, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174534754.

Contact Information

Jack Gilbert Weiss, CRNA
77 W Forest Ave, Suite 207,
Flagstaff, AZ 86001-1479
(928) 773-2505
(928) 773-2504



Provider's Profile

Full NameJack Gilbert Weiss
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location77 W Forest Ave, Flagstaff, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174534754
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 02/05/2008

Medical Identifiers

Medical identifiers for Jack Gilbert Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174534754NPI-NPPES
363242MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA0011 (Arizona)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. Jack Gilbert Weiss 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 AddressPractice Location Address
Jack Gilbert Weiss, CRNA
77 W Forest Ave, Suite 207,
Flagstaff, AZ 86001-1479

Ph: (928) 773-2505
Jack Gilbert Weiss, CRNA
77 W Forest Ave, Suite 207,
Flagstaff, AZ 86001-1479

Ph: (928) 773-2505

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› Verified 9 days ago


Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Benjamin Henrie, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Linda Allsop, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
James Dean Bohn, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
Elizabeth Parker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Tara Dupuy Herrero, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001
Phone: 928-558-7001    

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