Dr Blake Roland Wolfe, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Fort Moore, Georgia. His current practice location is
Martin Army 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, Georgia. You can reach out to his office (for appointments etc.) via phone at
(762) 408-1305.
Dr Blake Roland Wolfe is licensed to practice in Georgia (license number 95350) 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 1477053908.
Physician's Profile
| Full Name | Dr Blake Roland Wolfe |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | Martin Army 6600 Van Aalst Blvd, Fort Moore, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477053908
- Provider Enumeration Date: 02/21/2018
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335659770
- Enrollment ID: I20250605003540
Medical Identifiers
Medical identifiers for Dr Blake Roland Wolfe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477053908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 95350 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Blake Roland Wolfe allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care Of Illinois Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285071241 PECOS PAC ID: 6002040276 Enrollment ID: O20131002000446 |
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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. Dr Blake Roland Wolfe 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 |
Dr Blake Roland Wolfe, MD 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-1305 | Dr Blake Roland Wolfe, MD Martin Army 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, GA 31905-0001 Ph: (762) 408-1305 |
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