| Jacob David Wolfe, CRNA | |
|
1200 J D Anderson Dr, Morgantown, WV 26505-3494 | |
| (800) 394-4445 | |
| Not Available |
| Full Name | Jacob David Wolfe |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1200 J D Anderson Dr, Morgantown, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649416827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 58152 (West Virginia) | Primary |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20100916000800 |
| Entity Name | Northstar Anesthesia Of West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
| Entity Name | Riverside Anesthesia Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578946596 PECOS PAC ID: 3072828193 Enrollment ID: O20230606001975 |
| Entity Name | Monarch Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1124806831 PECOS PAC ID: 9436504180 Enrollment ID: O20231016002103 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Wolfe, CRNA 14 Evergreen Dr, Bridgeport, WV 26330-9266 Ph: () - | Jacob David Wolfe, CRNA 1200 J D Anderson Dr, Morgantown, WV 26505-3494 Ph: (800) 394-4445 |
Tanya C Ammons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-285-7126 | |
Jillann M Balko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4122 | |
Taylor Elizabeth Spinosi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
David R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Lori A Rizor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 J D Anderson Dr, Monongalia Genral Hospital, Morgantown, WV 26505 Phone: 304-285-1245 Fax: 304-285-2131 | |
Walter J Kielkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Amanda Renee Larew, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 French Quarters Dr, Morgantown, WV 26505 Phone: 304-376-7635 |