Dr Robert Shane Weatherwax, MD - Medicare Pediatrics in Travis Afb, CA

Dr Robert Shane Weatherwax, MD is a medicare enrolled "Pediatrics" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7113.

Dr Robert Shane Weatherwax is licensed to practice in Nebraska (license number 25743) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669671806.

Contact Information

Dr Robert Shane Weatherwax, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809
(707) 423-7113
(707) 423-3260



Physician's Profile

Full NameDr Robert Shane Weatherwax
GenderMale
SpecialityPediatrics
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669671806
  • Provider Enumeration Date: 07/17/2007
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355680729
  • Enrollment ID: I20190228002963

Medical Identifiers

Medical identifiers for Dr Robert Shane Weatherwax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669671806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25743 (Nebraska)Primary

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. Dr Robert Shane Weatherwax 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
Dr Robert Shane Weatherwax, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (707) 423-7113
Dr Robert Shane Weatherwax, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (707) 423-7113

Pediatrics Doctors in Travis Afb, CA

Rebecca Sarah Slogic, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 60 Mdg/sgoc, 101 Bodin Circle, Travis Afb, CA 94535
Phone: 707-423-5325    Fax: 707-423-7446
Dr. Brian Leonardo Montenegro, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-5323    
Dr. Chad Ian Tarter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7176    
Haritha Shiva O'hart, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-5323    
Luisa Sandoval, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 609-556-9811    
Dr. Amanda Marie Weindl, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535
Phone: 707-423-7176    

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