Amanda Jane De Wolf, is a
Case Manager/care Coordinator based in Pasadena, California. Amanda Jane De Wolf is licensed to practice in * (Not Available) (license number ) and her current practice location is
66 Hurlbut St, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 441-4221.
NPI number for Amanda Jane De Wolf is 1003454414 and her current mailing address is 3474 Canyon Ridge Dr, Altadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003454414.
Healthcare Provider's Profile
| Full Name | Amanda Jane De Wolf |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 66 Hurlbut St, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003454414
- Provider Enumeration Date: 12/16/2019
- Last Update Date: 12/16/2019
Medical Identifiers
Medical identifiers for Amanda Jane De Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003454414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Amanda Jane De 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 |
Amanda Jane De Wolf, 3474 Canyon Ridge Dr, Altadena, CA 91001-3724 Ph: (626) 390-1803 | Amanda Jane De Wolf, 66 Hurlbut St, Pasadena, CA 91105-4025 Ph: (626) 441-4221 |
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