| Nicole Wolf, | |
|
500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | |
| (906) 635-4460 | |
| Not Available |
| Full Name | Nicole Wolf |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 500 Osborn Blvd, Sault Sainte Marie, Michigan |
| 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 |
|---|---|---|---|
| 1104365014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Munson Healthcare Charlevoix Hospital | Charlevoix, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Petoskey Family Medicine, P.c. | 8022150556 | 5 |
| Entity Name | Petoskey Family Medicine, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457475550 PECOS PAC ID: 8022150556 Enrollment ID: O20100122000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Wolf, 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 Ph: (616) 300-0096 | Nicole Wolf, 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 Ph: (906) 635-4460 |
Jade D Small, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 |
Hailey Cockerill, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4460 |
Jessica E. Driesenga, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4460 |
Scott Michael Bartz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 W Easterday Ave, Sault Sainte Marie, MI 49783 Phone: 906-635-2110 |
Miss Crystal Lynn Caughy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 510 Ashmun St Ste 5, Sault Sainte Marie, MI 49783 Phone: 906-632-6013 Fax: 906-632-8618 |
Allison Elizabeth Magnus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4402 |
Emily Marie Conner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Spruce St Apt 1, Sault Sainte Marie, MI 49783 Phone: 906-869-9005 |