Dr Sky Wolf, is a medicare enrolled "Military Health Care Provider" physician in Cheyenne, Wyoming. Her current practice location is
6900 Alden Dr Bldg 160, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 773-2779.
Dr Sky Wolf is licensed to practice in * (Not Available) (license number ) 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 1174765093.
Physician's Profile
Full Name | Dr Sky Wolf |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | 6900 Alden Dr Bldg 160, Cheyenne, Wyoming |
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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: 1174765093
- Provider Enumeration Date: 03/25/2009
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193017101
- Enrollment ID: I20191206000630
Medical Identifiers
Medical identifiers for Dr Sky Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174765093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 12285A (Wyoming) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 20A11115 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | 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. Dr Sky Wolf allows following entities to bill medicare on her behalf.
Entity Name | Medi Horizons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154342921 PECOS PAC ID: 6305750134 Enrollment ID: O20031117000449 |
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Entity Name | University Of Wyoming |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770681439 PECOS PAC ID: 4183607054 Enrollment ID: O20040610001637 |
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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. Dr Sky 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 |
Dr Sky Wolf, 6900 Alden Dr Bldg 160, Cheyenne, WY 82005-2945 Ph: (307) 773-2779 | Dr Sky Wolf, 6900 Alden Dr Bldg 160, Cheyenne, WY 82005-2945 Ph: (307) 773-2779 |
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