Brandon T Wolfenden, PA-C is a medicare enrolled "Physician Assistant" physician in Oswego, New York. His current practice location is
110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 349-5511.
Brandon T Wolfenden is licensed to practice in New York (license number 013588-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336472182.
Physician's Profile
| Full Name | Brandon T Wolfenden |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 110 W 6th St, Oswego, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336472182
- Provider Enumeration Date: 09/11/2009
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436298817
- Enrollment ID: I20091124000219
Medical Identifiers
Medical identifiers for Brandon T Wolfenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336472182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | P72949 (New York) | Secondary |
| 363A00000X | Physician Assistant | P72949 (New York) | Secondary |
| 363A00000X | Physician Assistant | 013588-1 (New York) | 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. Brandon T Wolfenden 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 |
|---|
Brandon T Wolfenden, PA-C
75 Remit Dr # 6151,
Chicago, IL 60675-6151
Ph: (866) 916-5259 | Brandon T Wolfenden, PA-C
110 W 6th St,
Oswego, NY 13126-2507
Ph: (315) 349-5511 |
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