Dr Nicole J Wolf, PHD, LP in Flagstaff, AZ - Medicare Psychologist Provider

Dr Nicole J Wolf, PHD, LP is a medicare enrolled "Psychologist" provider in Flagstaff, Arizona. Her current practice location is 1515 E Cedar Ave Ste B-4, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 779-4550.

Dr Nicole J Wolf is licensed to practice in Minnesota (license number LP5468) 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 1295006203.

Contact Information

	Dr Nicole J Wolf, PHD, LP
	1515 E Cedar Ave Ste B-4, Flagstaff, AZ 86004-1645
	(928) 779-4550
	(928) 779-4493

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole J Wolf
Gender	Female
Speciality	Psychologist
Location	1515 E Cedar Ave Ste B-4, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295006203
Provider Enumeration Date: 01/23/2012
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6103045281
Enrollment ID: I20240314003733

Medical Identifiers

Medical identifiers for Dr Nicole J Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295006203	NPI	-	NPPES
LP5468	Other	MN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP5468 (Minnesota)	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. Dr Nicole J Wolf allows following entities to bill medicare on her behalf.

Entity Name	Southwest Behavioral Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948

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 Nicole J 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 Nicole J Wolf, PHD, LP 3450 N 3rd St, Phoenix, AZ 85012-2331 Ph: (602) 351-6986	Dr Nicole J Wolf, PHD, LP 1515 E Cedar Ave Ste B-4, Flagstaff, AZ 86004-1645 Ph: (928) 779-4550

Reviews and Comments

Psychologist in Flagstaff, AZ

Dr. Rielly Boyd, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Cedar Ave Ste E-2, Flagstaff, AZ 86004 Phone: 928-714-0010
Dr. Emily Craddock Thomas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-224-9235
Tami Lorraine Young, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 421 N Humphreys St, Flagstaff, AZ 86001 Phone: 928-482-2323
Anya Ashley, LMHC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Cedar Ave Ste 56, Flagstaff, AZ 86004 Phone: 928-526-2968
Dr. Chris Gunn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 222 N Verde St, Flagstaff, AZ 86001 Phone: 928-779-5118 Fax: 928-779-5118
Dr. John Blanchard Martin, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 Fax: 928-773-2300
Belinda F.. Batie, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-527-6163

Dr Nicole J Wolf, PHD, LP - Medicare Psychologist in Flagstaff, AZ