Dr Sky Wolf, is a medicare enrolled "Military Health Care Provider" physician in Cheyenne, Wyoming. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
6900 Alden Dr Bldg 160, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 773-2779.
Dr Sky Wolf is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174765093.
Physician's Profile
| Full Name | Dr Sky Wolf |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 18 Years |
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| Location | 6900 Alden Dr Bldg 160, Cheyenne, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sky Wolf graduated from medical school in 2008
NPI Data:
- NPI Number: 1174765093
- Provider Enumeration Date: 03/25/2009
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193017101
- Enrollment ID: I20231117002332
Medical Identifiers
Medical identifiers for Dr Sky Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174765093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 12285A (Wyoming) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 20A11115 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
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 Sky Wolf allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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 Sky Wolf 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 Sky Wolf,
6900 Alden Dr Bldg 160,
Cheyenne, WY 82005-2945
Ph: (307) 773-2779 | Dr Sky Wolf,
6900 Alden Dr Bldg 160,
Cheyenne, WY 82005-2945
Ph: (307) 773-2779 |
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