Todd Noel Wolford, FNP-BC is a medicare enrolled "Pain Medicine - Pain Medicine" in Michigan City, Indiana. His current practice location is
10176 W 400 N Ste B, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 809-9839.
Todd Noel Wolford is licensed to practice in Indiana (license number 71005415A) 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 1033501937.
Provider's Profile
| Full Name | Todd Noel Wolford |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 10176 W 400 N Ste B, Michigan City, Indiana |
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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: 1033501937
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 04/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214256932
- Enrollment ID: I20150430002500
Medical Identifiers
Medical identifiers for Todd Noel Wolford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033501937 | NPI | - | NPPES |
| 1033501937 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71005415A (Indiana) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 71005415A (Indiana) | 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. Todd Noel Wolford allows following entities to bill medicare on his behalf.
| Entity Name | Michiana Spine, Sports & Occupational Rehab, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912074659
PECOS PAC ID: 3375500093
Enrollment ID: O20090115000593 |
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| Entity Name | Allied Physicians Of Michiana, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508191768
PECOS PAC ID: 4486627601
Enrollment ID: O20091216000468 |
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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. Todd Noel 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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Todd Noel Wolford, FNP-BC
10176 W 400 N Ste B,
Michigan City, IN 46360-9009
Ph: (219) 809-9839 | Todd Noel Wolford, FNP-BC
10176 W 400 N Ste B,
Michigan City, IN 46360-9009
Ph: (219) 809-9839 |
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