Keith Wolf, is a
Social Worker - Clinical based in Anitgo, Wisconsin. Keith Wolf is licensed to practice in Wisconsin (license number 455-123) and his current practice location is
1225 Langlade Road, Anitgo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 623-2394.
NPI number for Keith Wolf is 1881781680 and his current mailing address is 1100 Lake View Drive, Wausau, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881781680.
Healthcare Provider's Profile
| Full Name | Keith Wolf |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1225 Langlade Road, Anitgo, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881781680
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Keith Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881781680 | NPI | - | NPPES |
| 39629300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 455-123 (Wisconsin) | Primary |
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. Keith Wolf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith Wolf,
1100 Lake View Drive,
Wausau, WI 54403
Ph: (715) 848-4600 | Keith Wolf,
1225 Langlade Road,
Anitgo, WI 54409
Ph: (715) 623-2394 |
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