| Kristin L Wulff, MD | |
|
295 W Pine Ave, Longwood, FL 32750-4138 | |
| (407) 339-4499 | |
| (407) 339-4903 |
| Full Name | Kristin L Wulff |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 295 W Pine Ave, Longwood, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771444 | NPI | - | NPPES |
| P00399032 | Other | AR | MEDICARE RAILROAD ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME104612 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ocean View Nursing & Rehabilitation Center, Llc | New smyrna beach, FL | Nursing home |
| Port Orange Nursing And Rehab Center | Port orange, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excellence Health Llc | 0840534160 | 38 |
| Entity Name | Florida Post Acute Care Clinicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811398811 PECOS PAC ID: 3971820598 Enrollment ID: O20150319001562 |
| Entity Name | Excellence Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741749 PECOS PAC ID: 0840534160 Enrollment ID: O20181127002760 |
| Entity Name | Excellence Health Wound Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215633441 PECOS PAC ID: 2264965565 Enrollment ID: O20241024003624 |
| Entity Name | Excellence Health Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902502875 PECOS PAC ID: 7113457250 Enrollment ID: O20250205001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Wulff, MD 218 River Bluff Dr, Ormond Beach, FL 32174-3835 Ph: (386) 852-8646 | Kristin L Wulff, MD 295 W Pine Ave, Longwood, FL 32750-4138 Ph: (407) 339-4499 |
Jessica M Gielow, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Natalee Genevieve Stone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Dr. Francisco Javier Couto, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Jon D Wiese, MD Surgery Medicare: Medicare Enrolled Practice Location: 521 W State Road 434, Suite 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 |