Look up the most recent NPI and PECOS records

John Edward Weisenberger

Family Medicine

Allopathic & Osteopathic Physicians

912 N Douty St, D, Hanford, CA 93230-3918

PECOS Enrollment

This provider is enrolled in PECOS as JOHN WEISENBERGER.

Based on the most recent information from CMS, provider John Edward Weisenberger is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1184736548
Provider Type
Individual
Full Name
Weisenberger, John Edward
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/31/2006
Last Updated
7/8/2007

Contact Information

Practice Location

912 N Douty St, D, Hanford, CA 93230-3918

(559) 582-2846

(559) 582-1808

Mailing Location

912 N Douty St, D, Hanford, CA 93230-3918

(559) 582-2846

(559) 582-1808

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A25851 California

Provider Identifiers

ID	Description	Issuer
ID 00A258511	Description Medicaid	Issuer Unlisted California

John Edward Weisenberger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sorensen, Eric N

Hanford Community Medical Center

De Castro, Jacqueline Gaerlan

Buchanan, Frank Tyrrell

Raber, Dustin A

Knudson, Allan A

Patel, Vimal B

Danilo R. Cruz, M.D., Inc.

Urrutia, Daniel

Castillo, Romeo C.