Jonathan Wolkwitz, PA is a medicare enrolled "Physician Assistant" physician in Dexter, New Mexico. His current practice location is
116 E. 2nd, Dexter, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 734-5817.
Jonathan Wolkwitz is licensed to practice in New Mexico (license number 96-PA22) 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 1831186303.
Physician's Profile
| Full Name | Jonathan Wolkwitz |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 116 E. 2nd, Dexter, New Mexico |
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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: 1831186303
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 09/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143203588
- Enrollment ID: I20040608000968
Medical Identifiers
Medical identifiers for Jonathan Wolkwitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831186303 | NPI | - | NPPES |
| 79336213 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 96-PA22 (New Mexico) | Secondary |
| 363A00000X | Physician Assistant | 96-PA22 (New Mexico) | 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. Jonathan Wolkwitz 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 |
|---|
Jonathan Wolkwitz, PA
7100 Commerce Way, Suite 180,
Brentwood, TN 37027-2829
Ph: (615) 465-7000 | Jonathan Wolkwitz, PA
116 E. 2nd,
Dexter, NM 88230
Ph: (575) 734-5817 |
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