Stacy Wolf, PT, DPT is a medicare enrolled "Physical Therapist" provider in Hallock, Minnesota. Her current practice location is
1010 S Birch Ave, Hallock, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 843-3612.
Stacy Wolf is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942963616.
Healthcare Provider's Profile
Full Name | Stacy Wolf |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1010 S Birch Ave, Hallock, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942963616
- Provider Enumeration Date: 10/19/2021
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123480928
- Enrollment ID: I20230810002444
Medical Identifiers
Medical identifiers for Stacy Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942963616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | 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. Stacy Wolf allows following entities to bill medicare on her behalf.
Provider Name | Sports And Orthopedic Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1336539030 PECOS PAC ID: 0840104253 Enrollment ID: O20170728000765 |
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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. Stacy 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 |
Stacy Wolf, PT, DPT 377 Hoes Ln Ste 300, Piscataway, NJ 08854-4138 Ph: () - | Stacy Wolf, PT, DPT 1010 S Birch Ave, Hallock, MN 56728-4215 Ph: (218) 843-3612 |
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