Mr Dale Edwin Wolford, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Arcadia, Florida. His current practice location is
1110 E Gibson St, Arcadia, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 494-1918.
Mr Dale Edwin Wolford is licensed to practice in Florida (license number OS4624) 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 1417902164.
Physician's Profile
| Full Name | Mr Dale Edwin Wolford |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1110 E Gibson St, Arcadia, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417902164
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 03/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 6800818816
- Enrollment ID: I20150123000788
Medical Identifiers
Medical identifiers for Mr Dale Edwin Wolford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417902164 | NPI | - | NPPES |
| 1966 | Other | WV | WEST VA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | H0063736 (Maryland) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OS4624 (Florida) | 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. Mr Dale Edwin Wolford allows following entities to bill medicare on his behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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| Entity Name | Ob Hospitalist Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647334
PECOS PAC ID: 5193866838
Enrollment ID: O20100104000363 |
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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. Mr Dale Edwin Wolford 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 |
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Mr Dale Edwin Wolford, DO
700 8th Ave W, Ste 101,
Palmetto, FL 34221-4737
Ph: (941) 776-4008 | Mr Dale Edwin Wolford, DO
1110 E Gibson St,
Arcadia, FL 34266-5011
Ph: (863) 494-1918 |
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