| Dr Jaime E Wolf, DO | |
|
1057 Second Street Pike, Richboro, PA 18954-1803 | |
| (215) 357-5760 | |
| (267) 364-2005 |
| Full Name | Dr Jaime E Wolf |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1057 Second Street Pike, Richboro, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568704633 | NPI | - | NPPES |
| 0034342200 | Other | PA | KEYSTONE IBC |
| 5940869 | Other | PA | AETNA |
| 1031171710001 | Medicaid | PA | |
| 117819200 | Other | PA | PA DEPT OF LABOR |
| 3410256 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS018105 (Pennsylvania) | Primary |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Entity Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982361 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaime E Wolf, DO 41 University Dr, Suite 300, Newtown, PA 18940-1873 Ph: (215) 710-5522 | Dr Jaime E Wolf, DO 1057 Second Street Pike, Richboro, PA 18954-1803 Ph: (215) 357-5760 |
Ronald William Goppold, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 95 Almshouse Rd, Ste 103, Richboro, PA 18954 Phone: 215-357-5760 Fax: 215-357-5731 | |
Dr. Yevgeniy Dyakovetsky, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Providence Dr, Richboro, PA 18954 Phone: 215-939-1452 Fax: 215-579-4767 | |
Pranay R. Patel, D,O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Almshouse Rd Ste 600, Richboro, PA 18954 Phone: 215-845-0731 | |
Ms. Vinita Ponamgi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 2nd Street Pike Ste 111, Richboro, PA 18954 Phone: 215-364-0777 Fax: 215-364-4643 | |
Audrey K. Kleeman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1057 Second Street Pike, Richboro, PA 18954 Phone: 215-357-5760 Fax: 267-364-2005 | |
Dr. J. Andrew Solis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Almshouse Rd, Suite 100, Richboro, PA 18954 Phone: 215-357-6330 Fax: 215-357-5980 |