Benjamin J Weyer, PA
Individual provider Active NPI Physician Assistant · Jasper, IN
NPI 1962053579 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1962053579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10002802A (IN)
- Practice address
- 440 Scott Rolen Dr
Jasper, IN 47546-2700 - Phone
- (812) 482-5656
- Fax
- (812) 482-9758
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Memorial Medical Center Inc
Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
1003 E Illinois
Petersburg Family Medicine
Petersburg, IN 47567-8068
Phone (812) 354-3458
303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943
440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 482-5656
600 S State Rd 57 a
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 257-1052
600 S State Rd 57 B
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 674-4040
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188
92 W Christmas Blvd
Santa Claus, IN 47579-6044
Phone (812) 937-4120
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
- Daviess Community Hospital
- Deaconess Hospital Inc
- Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030001544 | IN | Practitioner - Physician Assistant | 2567794274 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002802A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Physician Assistant | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Deaconess Specialty Physicians Inc | Physician Assistant | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Deaconess Specialty Physicians Inc | Physician Assistant | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Physician Assistant | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655
1003 E Illinois St
Petersburg, IN 47567
Phone (812) 354-3458
92 W Christmas Blvd
Santa Claus, IN 47579
Phone (812) 482-5656
600 S State Road 57
Ste B
Washington, IN 47501
Phone (812) 674-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002802A | IN | Yes |
Addresses
Primary practice location
440 Scott Rolen Dr
Jasper, IN 47546-2700
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8478
Other providers in Jasper, IN
- Kristin Werne
- Nicholas Werne
- Ella Rae Werner
- Carsyn Wessel
- Rebecca Louise Westgate
- Carol Jo Weyer
- Madeline Weyer
- Alison White
- Debra Sue White
- Shelbie Leigh White
All providers in Jasper, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.