Ricky David Wolfe, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Gaffney, South Carolina. His current practice location is
1530 N Limestone St, Gaffney, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 487-1603.
Ricky David Wolfe is licensed to practice in South Carolina (license number 14003) 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 1790762417.
Physician's Profile
| Full Name | Ricky David Wolfe |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology |
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| Location | 1530 N Limestone St, Gaffney, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790762417
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 10/24/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537136544
- Enrollment ID: I20050822000814
Medical Identifiers
Medical identifiers for Ricky David Wolfe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790762417 | NPI | - | NPPES |
| 5901767 | Medicaid | NC | |
| Q41705 | Medicaid | SC | |
| 00708606A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0101X | Pathology - Anatomic Pathology | 14003 (South Carolina) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | (North Carolina) | Secondary |
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. Ricky David Wolfe allows following entities to bill medicare on his behalf.
| Entity Name | Lowcountry Urology Clinics, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942242714 PECOS PAC ID: 6406869247 Enrollment ID: O20060724000104 |
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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. Ricky David Wolfe 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 |
Ricky David Wolfe, MD 1530 N Limestone St, Gaffney, SC 29340 Ph: (864) 487-1603 | Ricky David Wolfe, MD 1530 N Limestone St, Gaffney, SC 29340 Ph: (864) 487-1603 |
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