Mr Bruce Carlisle Wolf, MSPT is a
Physical Medicine & Rehabilitation physician based in Mountain Home, Arkansas. Mr Bruce Carlisle Wolf is licensed to practice in Arkansas (license number PT2246) and his current practice location is 603 Northtown, Mountain Home, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 425-5180.
NPI number for Mr Bruce Carlisle Wolf is 1619938511 and his current mailing address is 603 Northtown, Mountain Home, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619938511.
Physician's Profile
| Full Name | Mr Bruce Carlisle Wolf |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 603 Northtown, Mountain Home, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619938511
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 11/17/2009
Medical Identifiers
Medical identifiers for Mr Bruce Carlisle Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619938511 | NPI | - | NPPES |
| 143668742 | Medicaid | AR | |
| 650019382 | Other | AR | PALMETTO GBA RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT2246 (Arkansas) | 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. Mr Bruce Carlisle Wolf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bruce Carlisle Wolf, MSPT
603 Northtown,
Mountain Home, AR 72653-3121
Ph: (870) 425-5180 | Mr Bruce Carlisle Wolf, MSPT
603 Northtown,
Mountain Home, AR 72653-3121
Ph: (870) 425-5180 |
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