Chelsea Wolf, DO is a medicare enrolled "Family Medicine" physician in North Webster, Indiana. Her current practice location is
301 N. Main St, North Webster, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 244-0148.
Chelsea Wolf is licensed to practice in Indiana (license number 02006076A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366003188.
Physician's Profile
Full Name | Chelsea Wolf |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 301 N. Main St, North Webster, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366003188
- Provider Enumeration Date: 06/24/2019
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153656376
- Enrollment ID: I20220719001016
Medical Identifiers
Medical identifiers for Chelsea Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366003188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 02006076A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chelsea Wolf allows following entities to bill medicare on her behalf.
Entity Name | Goshen Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
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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. Chelsea Wolf 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 Address | Practice Location Address |
Chelsea Wolf, DO Po Box 834, Goshen, IN 46527-0834 Ph: () - | Chelsea Wolf, DO 301 N. Main St, North Webster, IN 46555-9208 Ph: (574) 244-0148 |
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