Dr Michael Anthony Wolf, OD is a medicare enrolled "Optometrist" provider in Gray, Tennessee. He went to Indiana University - School Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Envision Professional Group Pllc and his current practice location is
122 Old Gray Station Rd Ste 1, Gray, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 477-2020.
Dr Michael Anthony Wolf is licensed to practice in Tennessee (license number OD1369) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376575050.
Healthcare Provider's Profile
| Full Name | Dr Michael Anthony Wolf |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 33 Years |
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| Location | 122 Old Gray Station Rd Ste 1, Gray, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Anthony Wolf attended and graduated from Indiana University - School Of Optometry in 1991
NPI Data:
- NPI Number: 1376575050
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 01/30/2008
Medicare PECOS Information:
- PECOS PAC ID: 4789688250
- Enrollment ID: I20060914000450
Medical Identifiers
Medical identifiers for Dr Michael Anthony Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376575050 | NPI | - | NPPES |
| 3598164 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD1369 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Envision Professional Group Pllc | 5799040184 | 10 |
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. Dr Michael Anthony Wolf allows following entities to bill medicare on his behalf.
| Provider Name | Envision Professional Group Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427155472
PECOS PAC ID: 5799040184
Enrollment ID: O20180905000805 |
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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. Dr Michael Anthony Wolf 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 |
|---|
Dr Michael Anthony Wolf, OD
122 Old Gray Station Rd Ste 1,
Gray, TN 37615-3434
Ph: (423) 477-2020 | Dr Michael Anthony Wolf, OD
122 Old Gray Station Rd Ste 1,
Gray, TN 37615-3434
Ph: (423) 477-2020 |
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