Mr Thomas Wolf Jr, C-AA is a medicare enrolled "Anesthesiologist Assistant" physician in Saint Louis, Missouri. His current practice location is
615 S New Ballas Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 386-9224.
Mr Thomas Wolf Jr is licensed to practice in Missouri (license number 2006034494) 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 1457348054.
Physician's Profile
| Full Name | Mr Thomas Wolf Jr |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
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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: 1457348054
- Provider Enumeration Date: 09/29/2005
- Last Update Date: 01/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618983248
- Enrollment ID: I20070308000252
Medical Identifiers
Medical identifiers for Mr Thomas Wolf Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457348054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | AA-807 (Alabama) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 2006034494 (Missouri) | 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 Thomas Wolf Jr allows following entities to bill medicare on his behalf.
| Entity Name | Western Anesthesiology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275646754
PECOS PAC ID: 6204720667
Enrollment ID: O20040226000438 |
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| Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407232804
PECOS PAC ID: 3274842331
Enrollment ID: O20151013000437 |
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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 Thomas Wolf Jr 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 Thomas Wolf Jr, C-AA
339 Consort Dr,
Ballwin, MO 63011-4439
Ph: (636) 386-9224 | Mr Thomas Wolf Jr, C-AA
615 S New Ballas Rd,
Saint Louis, MO 63141-8221
Ph: (636) 386-9224 |
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