Wolf Eye Center, Inc. is a medicare enrolled "Ophthalmology" provider in Wasilla, Alaska. Their current practice location is
4505 E Greenstreet Circle, Wasilla, Alaska. You can reach out to their office (for appointments etc.) via phone at
(907) 376-2020.
Wolf Eye Center, Inc. is licensed to practice in Alaska (license number 4915) and it also participates in the medicare program. Wolf Eye Center, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063740363.
Healthcare Provider's Profile
| Full Name | Wolf Eye Center, Inc. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 4505 E Greenstreet Circle, Wasilla, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063740363
- Provider Enumeration Date: 11/24/2009
- Last Update Date: 03/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 7012032949
- Enrollment ID: O20100916000210
Medical Identifiers
Medical identifiers for Wolf Eye Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063740363 | NPI | - | NPPES |
| K163165 | Other | AK | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 4915 (Alaska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wolf Eye Center, Inc. acts as a billing entity for following providers:
| Provider Name | Evan Wolf |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1205801586
PECOS PAC ID: 5597726463
Enrollment ID: I20041026000272 |
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| Provider Name | Lauren Evans |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1144451741
PECOS PAC ID: 9335311703
Enrollment ID: I20120626000549 |
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| Provider Name | Amber Mayberry |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1689006942
PECOS PAC ID: 3072756980
Enrollment ID: I20130826000077 |
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| Provider Name | Austin Joseph Anderson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1063068328
PECOS PAC ID: 7911330766
Enrollment ID: I20191209001311 |
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| Provider Name | Yennhi Tran |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1366001513
PECOS PAC ID: 1456784271
Enrollment ID: I20191210001449 |
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| Provider Name | Jessica A Thornton |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1962983155
PECOS PAC ID: 5799012159
Enrollment ID: I20201118001301 |
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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. Wolf Eye Center, Inc. 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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Wolf Eye Center, Inc.
4505 E Greenstreet Circle,
Wasilla, AK 99654
Ph: (907) 376-2020 | Wolf Eye Center, Inc.
4505 E Greenstreet Circle,
Wasilla, AK 99654
Ph: (907) 376-2020 |
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