Mrs Jacqueline Marie Wolf, MS CCC-SLP in Melville, NY - Medicare Speech-Language Pathologist Provider

Mrs Jacqueline Marie Wolf, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Melville, New York. Her current practice location is 560 Broadhollow Rd Ste 304, Melville, New York. You can reach out to her office (for appointments etc.) via phone at (516) 222-2010.

Mrs Jacqueline Marie Wolf is licensed to practice in New York (license number 012276-01) 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 1003676149.

Contact Information

	Mrs Jacqueline Marie Wolf, MS CCC-SLP
	560 Broadhollow Rd Ste 304, Melville, NY 11747-3702
	(516) 222-2010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacqueline Marie Wolf
Gender	Female
Speciality	Speech-language Pathologist
Location	560 Broadhollow Rd Ste 304, Melville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003676149
Provider Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6103264999
Enrollment ID: I20240328003510

Medical Identifiers

Medical identifiers for Mrs Jacqueline Marie Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003676149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	012276-01 (New York)	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. Mrs Jacqueline Marie Wolf allows following entities to bill medicare on her behalf.

Provider Name	Optimum Therapeutics Pt & Ot Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972882322 PECOS PAC ID: 5991977712 Enrollment ID: O20111020000071

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. Mrs Jacqueline Marie 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
Mrs Jacqueline Marie Wolf, MS CCC-SLP 38 Matsunaye Dr, Medford, NY 11763-4132 Ph: (631) 806-5935	Mrs Jacqueline Marie Wolf, MS CCC-SLP 560 Broadhollow Rd Ste 304, Melville, NY 11747-3702 Ph: (516) 222-2010

Reviews and Comments

Speech-Language Pathologist in Melville, NY

Amanda Braunstein, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 52 Threepence Dr, Melville, NY 11747 Phone: 631-972-5772
Ms. Maria Dipentima, M.A. CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 424 Court North Drive, Melville, NY 11747 Phone: 631-249-8155
Mrs. Ilene Nicole Grobman, M.S.,CCC/SLP,TSHH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Wilmington Dr, Melville, NY 11747 Phone: 516-521-5579
Mrs. Melody Joy Ferras, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 Broadhollow Rd Ste 402, Melville, NY 11747 Phone: 631-385-7780 Fax: 631-385-7795
Mrs. Carla Ann Chiappetta, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28 Bramble Ln, Melville, NY 11747 Phone: 631-367-6401 Fax: 631-367-6402
Ms. Robin Lisa Trichon, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Elderwood Ln, Melville, NY 11747 Phone: 516-297-3832

Mrs Jacqueline Marie Wolf, MS CCC-SLP - Medicare Speech-Language Pathologist in Melville, NY