| Jacob Marvin Wolf, MD | |
|
520 A1a N Ste 101, Ponte Vedra Beach, FL 32082-2260 | |
| (904) 273-6900 | |
| (904) 390-7479 |
| Full Name | Jacob Marvin Wolf |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 520 A1a N Ste 101, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396783080 | NPI | - | NPPES |
| 2250326 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME149672 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida First Care Inc | Orange park, FL | Home health agency |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Marvin Wolf, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Jacob Marvin Wolf, MD 520 A1a N Ste 101, Ponte Vedra Beach, FL 32082-2260 Ph: (904) 273-6900 |
Dr. Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1030 A1a N, Ponte Vedra Beach, FL 32082 Phone: 904-551-1394 Fax: 888-770-4284 | |
Eric J Norenberg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 228 Ponte Vedra Park Dr Ste 500, Ponte Vedra Beach, FL 32082 Phone: 904-273-1180 Fax: 904-273-6116 | |
Dr. Thomas Allen Tomlin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 A1a N Ste 13-137, Ponte Vedra Beach, FL 32082 Phone: 904-608-1420 | |
Mrs. Jessica Marie Clark, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Willow Falls Trl, Ponte Vedra Beach, FL 32081 Phone: 352-817-1452 | |
Katie Longo Cantrell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 A1a N Ste 101, Ponte Vedra Beach, FL 32082 Phone: 904-273-6900 Fax: 904-390-7479 | |
Shalaka Ghate, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 A1a N Ste 1, Ponte Vedra Beach, FL 32082 Phone: 904-273-6900 Fax: 904-390-7479 |