Mark L Weaver, PT - Medicare Physical Therapist in Pinedale, WY

Mark L Weaver, PT is a medicare enrolled "Physical Therapist" provider in Pinedale, Wyoming. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Proactive Physical Therapy Pc and his current practice location is 317 N. Faler Ave, Pinedale, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 367-6236.

Mark L Weaver is licensed to practice in Wyoming (license number PT-642) 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 1801949045.

Contact Information

Mark L Weaver, PT
317 N. Faler Ave,
Pinedale, WY 82941
(307) 367-6236
(307) 367-3332



Healthcare Provider's Profile

Full NameMark L Weaver
GenderMale
SpecialityPhysical Therapy
Experience30 Years
Location317 N. Faler Ave, Pinedale, Wyoming
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:
  • Mark L Weaver graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1801949045
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 11/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7810091527
  • Enrollment ID: I20070404000524

Medical Identifiers

Medical identifiers for Mark L Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801949045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-642 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proactive Physical Therapy Pc06481714629

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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. Mark L Weaver allows following entities to bill medicare on his behalf.
Provider NameProactive Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184814345
PECOS PAC ID: 0648171462
Enrollment ID: O20040115000642

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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. Mark L 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
Mark L Weaver, PT
Po Box 1037,
Pinedale, WY 82941-1037

Ph: (307) 367-6236
Mark L Weaver, PT
317 N. Faler Ave,
Pinedale, WY 82941

Ph: (307) 367-6236

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Physical Therapist in Pinedale, WY

Christen Elaine Thonhoff, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 317 N Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Proactive Rehabilitation
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 317 N Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Ms. Stephanie Megan Bruce, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 317 N. Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Erica Anne Walrath, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 317 N. Faler Ave., Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Amy J. Hughes, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 317 N. Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Mrs. Terri Dever Neal, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 317 N Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332
Ms. Susan M. Holz, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 317 N Faler Ave, Pinedale, WY 82941
Phone: 307-367-6236    Fax: 307-367-3332

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