Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Marcus Weimar , PA

Physician Assistant β€’ Providence, RI

Active NPI 1447002019 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

593 Eddy St
Providence, RI 029034923

Call 4017939166 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4017939166
Fax 4014442788
Organization at the Same NPPES Address or Phone
Rhode Island Hospital Facility NPI 1588659528

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Lifespan Physician Group Inc; Rhode Island Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Marcus Weimar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Marcus Weimar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

267 active clinicians are listed under Physician Assistant with a practice address in Providence, RI (684 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

16.5% of these 267 clinicians have the CMS telehealth indicator.

58.1% of these 267 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES RI PA01705

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240727000031

Enrollment State Jurisdiction

RI

PECOS Control ID

0749726628

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lifespan Physician Group Inc

593 Eddy St George Bldg 1st Floor, Providence, RI 029034923

Phone: 4017939166

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Rhode Island Hospital

1454 S County Trl, East Greenwich, RI 028181749

Phone: 4016062000

Lifespan Physician Group Inc

593 Eddy St Apc, Providence, RI 029034923

Phone: 4017939172

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Dr. Oluwaseun Akinduro , MD

Neurological Surgery

NPI 1194170217

Doctor of Medicine (M.D.)

Emanuela Antonellis

Nurse Practitioner - Family

NPI 1316725427
Dr. Wael Asaad , MD, PhD

Neurological Surgery

NPI 1770619165

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Ross Barker , DO

Anesthesiology - Pain Medicine

NPI 1679836266

Doctor of Osteopathic Medicine (D.O.)

Dr. Daniel Biro , MD

Neurological Surgery

NPI 1801358239

Doctor of Medicine (M.D.)

NPI 1083335301

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 11, 2024

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017939166)

πŸ“
Updated Business Mailing Address July 11, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541

πŸ‘€
Provider Name / Credentials Updated July 11, 2024

Recorded as MARCUS WEIMAR, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2024

Physician Assistant (license number reported to NPPES: RI PA01705)

βœ…
NPI Profile Active April 04, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 04, 2024

Registered at 179 LONGWOOD AVE, BOSTON, MA 021155804 (Tel: 6177322918)

πŸ“
Business Mailing Address (Initial Record) April 04, 2024

Registered at 179 LONGWOOD AVE, BOSTON, MA 021155804

πŸ‘€
Provider Name / Credentials (Initial Record) April 04, 2024

Recorded as MARCUS WEIMAR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration April 04, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1447002019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2024
Last Update: July 11, 2024
Sole Proprietor: No

Other Physician Assistants in Providence

All Physician Assistants in Providence

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.