Mr Timothy J Wolf, CRNA08/ is a
Nurse Anesthetist, Certified Registered based in West Covina, California. Mr Timothy J Wolf is licensed to practice in California (license number NA061) and his current practice location is
725 S Orange Ave, West Covina, California. He can be reached at his office (for appointments etc.) via phone at
(909) 946-5752.
NPI number for Mr Timothy J Wolf is 1003844200 and his current mailing address is 220 W 21st St, Upland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003844200.
Provider's Profile
| Full Name | Mr Timothy J Wolf |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 725 S Orange Ave, West Covina, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003844200
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Timothy J Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003844200 | NPI | - | NPPES |
| NA0000610 | Other | CA | BLUE SHIELD |
| RN1879391 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA061 (California) | Primary |
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 Timothy J Wolf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Timothy J Wolf, CRNA08/
220 W 21st St,
Upland, CA 91784-1412
Ph: (909) 946-5752 | Mr Timothy J Wolf, CRNA08/
725 S Orange Ave,
West Covina, CA 91790-2614
Ph: (909) 946-5752 |
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