Mr Jack C Wolfe, MD is a medicare enrolled "Emergency Medicine" physician in El Cajon, California. His current practice location is
1625 E Main St, Ste. 100, El Cajon, California. You can reach out to his office (for appointments etc.) via phone at
(619) 442-9896.
Mr Jack C Wolfe is licensed to practice in California (license number G29972) 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 1417055948.
Physician's Profile
Full Name | Mr Jack C Wolfe |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1625 E Main St, El Cajon, California |
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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: 1417055948
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 05/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 6103018262
- Enrollment ID: I20101007000456
Medical Identifiers
Medical identifiers for Mr Jack C Wolfe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417055948 | NPI | - | NPPES |
00G299720 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | G29972 (California) | 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 Jack C Wolfe allows following entities to bill medicare on his behalf.
Entity Name | East County Urgent Care Industrial & Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417988668 PECOS PAC ID: 5294927356 Enrollment ID: O20101007000431 |
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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 Jack C Wolfe 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 |
Mr Jack C Wolfe, MD 1625 E Main St, Ste. 100, El Cajon, CA 92021-5211 Ph: (619) 442-9896 | Mr Jack C Wolfe, MD 1625 E Main St, Ste. 100, El Cajon, CA 92021-5211 Ph: (619) 442-9896 |
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