Ms Tiffany Carol Wohlwend, PA-C is a medicare enrolled "Physician Assistant" in Galt, California. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
10400 Twin Cities Rd, Suite 20-114, Galt, California. You can reach out to her office (for appointments etc.) via phone at
(530) 219-2298.
Ms Tiffany Carol Wohlwend is licensed to practice in California (license number PA 17650) 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 1275558413.
Provider's Profile
| Full Name | Ms Tiffany Carol Wohlwend |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 10400 Twin Cities Rd, Galt, California |
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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:
- Ms Tiffany Carol Wohlwend graduated from nursing school in 2004
NPI Data:
- NPI Number: 1275558413
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395750574
- Enrollment ID: I20170822001545
Medical Identifiers
Medical identifiers for Ms Tiffany Carol Wohlwend such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275558413 | NPI | - | NPPES |
| PA17650 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA 17650 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
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. Ms Tiffany Carol Wohlwend 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 |
|---|
Ms Tiffany Carol Wohlwend, PA-C
10400 Twin Cities Rd, Suite 20-114,
Galt, CA 95632-9033
Ph: (530) 219-2298 | Ms Tiffany Carol Wohlwend, PA-C
10400 Twin Cities Rd, Suite 20-114,
Galt, CA 95632-9033
Ph: (530) 219-2298 |
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