Dr Kevin Jay Wolf, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Goldsboro, North Carolina. He went to California School Of Podiatric Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Podiatry. His current practice location is
407 N. Herman St, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 583-9788.
Dr Kevin Jay Wolf is licensed to practice in North Carolina (license number 357) 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 1487712824.
Healthcare Provider's Profile
| Full Name | Dr Kevin Jay Wolf |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 38 Years |
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| Location | 407 N. Herman St, Goldsboro, North Carolina |
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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 Kevin Jay Wolf attended and graduated from California School Of Podiatric Medicine in 1987
NPI Data:
- NPI Number: 1487712824
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 03/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 4688564230
- Enrollment ID: I20040706000542
Medical Identifiers
Medical identifiers for Dr Kevin Jay Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487712824 | NPI | - | NPPES |
| 890818H | Medicaid | NC | |
| 0818H | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 357 (North Carolina) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 357 (North Carolina) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 357 (North Carolina) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 357 (North Carolina) | Secondary |
Medical Facilities Affiliation
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 Kevin Jay Wolf allows following entities to bill medicare on his behalf.
| Provider Name | Kevin Jay Wolf |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063691301
PECOS PAC ID: 4183514839
Enrollment ID: O20040317000868 |
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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 Kevin Jay 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 Kevin Jay Wolf, DPM
407 N. Herman St,
Goldsboro, NC 27530
Ph: (919) 583-9788 | Dr Kevin Jay Wolf, DPM
407 N. Herman St,
Goldsboro, NC 27530
Ph: (919) 583-9788 |
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