Kelly Wulf, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Portland, Oregon. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clackamas Dermatology Pc and her current practice location is
2565 Nw Lovejoy St, Suite 100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 279-9700.
Kelly Wulf is licensed to practice in Oregon (license number PA164512) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750654323.
Physician's Profile
| Full Name | Kelly Wulf |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 2565 Nw Lovejoy St, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She 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:
- Kelly Wulf graduated from medical school in 2013
NPI Data:
- NPI Number: 1750654323
- Provider Enumeration Date: 02/13/2012
- Last Update Date: 11/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214164870
- Enrollment ID: I20131206000061
Medical Identifiers
Medical identifiers for Kelly Wulf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750654323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | PA164512 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA164512 (Oregon) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA164512 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clackamas Dermatology Pc | 4183618440 | 9 |
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. Kelly Wulf 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 |
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Kelly Wulf, PA-C
8614 E Mill Plain Blvd, Ste 400,
Vancouver, WA 98664-2092
Ph: (360) 254-5267 | Kelly Wulf, PA-C
2565 Nw Lovejoy St, Suite 100,
Portland, OR 97210-2996
Ph: (503) 279-9700 |
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