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Lisa Frances Weaver

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434

PECOS Enrollment

This provider is enrolled in PECOS as LISA WEAVER.

Based on the most recent information from CMS, provider Lisa Frances Weaver 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
1356587695
Provider Type
Individual
Full Name
Weaver, Lisa Frances
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/16/2008
Last Updated
5/6/2020

Contact Information

Practice Location

1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434

(865) 524-1631

(865) 541-1727

Mailing Location

1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

(865) 584-4747

(865) 584-1363

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 13992 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3714823	Description Other	Issuer MEDICARE GROUP Tennessee

Lisa Frances Weaver

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

Taylor, Erik

Payne, Rachel

Epperson, Chasity Leann

Scott, Shanle G

O'Hare, Esther Marie

Yopp, Lisa B.

Irwin, James Tyler

Dantzler, Katelyn Elizabeth

Pickel, Kimberly Jo

Gayle, Kristen Osterman