Michael Phillip Wolff, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Upland, California. His current practice location is
1042 N Mountain Ave, Box 351, Upland, California. You can reach out to his office (for appointments etc.) via phone at
(909) 908-9137.
Michael Phillip Wolff is licensed to practice in California (license number RN452631) 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 1326024050.
Provider's Profile
| Full Name | Michael Phillip Wolff |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1042 N Mountain Ave, Upland, California |
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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: 1326024050
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 05/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 9739283102
- Enrollment ID: I20070326000265
Medical Identifiers
Medical identifiers for Michael Phillip Wolff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326024050 | NPI | - | NPPES |
| RN4526310 | Medicaid | CA | |
| 430079036 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN452631 (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. Michael Phillip Wolff allows following entities to bill medicare on his behalf.
| Entity Name | Cp Nursing Anesthesia Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316185614
PECOS PAC ID: 8123182581
Enrollment ID: O20090129000338 |
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| Entity Name | Anesthesia Provider Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538404256
PECOS PAC ID: 1951544329
Enrollment ID: O20130904000472 |
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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. Michael Phillip Wolff 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 |
|---|
Michael Phillip Wolff, CRNA
1042 N Mountain Ave, Box 351,
Upland, CA 91786-3695
Ph: (909) 908-9137 | Michael Phillip Wolff, CRNA
1042 N Mountain Ave, Box 351,
Upland, CA 91786-3695
Ph: (909) 908-9137 |
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