| Edward G Wolfe, RPA | |
|
5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | |
| (315) 452-2333 | |
| (315) 452-2336 |
| Full Name | Edward G Wolfe |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 5100 W Taft Rd, Liverpool, New York |
| 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 |
|---|---|---|---|
| 1669434536 | NPI | - | NPPES |
| 02366030 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 004068 (New York) | Primary |
| 207P00000X | Emergency Medicine | 0040681 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oswego Hospital | Oswego, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Oswego County Health Services, Inc. | 8426961541 | 37 |
| Entity Name | Northern Oswego County Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
| Entity Name | Syracuse Orthopedic Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
| Entity Name | Wellnow Urgent Care, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward G Wolfe, RPA 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 Ph: (315) 452-2333 | Edward G Wolfe, RPA 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 Ph: (315) 452-2333 |
Meriem Djouini, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7335 Morgan Rd, Liverpool, NY 13090 Phone: 315-572-0731 |
Jacob Mir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 |
Bethany Sly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 |
Matthew Romano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-471-0749 |
Debra A Wolf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4828 W Taft Rd, Suite 215, Liverpool, NY 13088 Phone: 315-413-0004 Fax: 315-413-0828 |
Stephanie Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5046 Betsy Ross Way, Liverpool, NY 13088 Phone: 315-956-0900 |
Judy A Diliberto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726 |