Wolf Medical Group, Llc | |
120 Ryan Dr Rising Sun MD 21911-1840 | |
(443) 485-9116 | |
(877) 426-3121 |
Full Name | Wolf Medical Group, Llc |
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Speciality | Family Medicine |
Location | 120 Ryan Dr, Rising Sun, Maryland |
Authorized Official Name and Position | Robert Jordan Wolf (OWNER) |
Authorized Official Contact | 4434859116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wolf Medical Group, Llc 120 Ryan Dr Rising Sun MD 21911-1840 Ph: (443) 485-9116 | Wolf Medical Group, Llc 120 Ryan Dr Rising Sun MD 21911-1840 Ph: (443) 485-9116 |
NPI Number | 1205440153 |
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Provider Enumeration Date | 09/08/2020 |
Last Update Date | 11/26/2021 |
Medicare PECOS PAC ID | 7719306505 |
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Medicare Enrollment ID | O20200928002761 |
Identifier | Type | State | Issuer |
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1205440153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert J Wolf |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215925235 PECOS PAC ID: 9436189297 Enrollment ID: I20080226000150 |
Provider Name | Michelle A Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821441197 PECOS PAC ID: 8325329428 Enrollment ID: I20170104000925 |
Neil E Lattin, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Colonial Way, Suite A, Rising Sun, MD 21911 Phone: 410-658-1112 | |
Joseph K. Weidner Jr Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Colonial Way, Suite A, Rising Sun, MD 21911 Phone: 410-658-6696 Fax: 410-658-4548 | |
Clinica Medicina Primaria De Rising Sun Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Colonial Way Ste A, Rising Sun, MD 21911 Phone: 443-350-0989 | |
Rodney P. Donham, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 410-658-6555 Fax: 410-392-9289 |