Susan Wolf, APN is a medicare enrolled "Nurse Practitioner" in Metamora, Illinois. Her current practice location is
928 W Mount Vernon St, Metamora, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 367-2229.
Susan Wolf is licensed to practice in Illinois (license number 209-011733) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396144663.
Provider's Profile
| Full Name | Susan Wolf |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 928 W Mount Vernon St, Metamora, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396144663
- Provider Enumeration Date: 08/22/2014
- Last Update Date: 08/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 3870713233
- Enrollment ID: I20141007000613
Medical Identifiers
Medical identifiers for Susan Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396144663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209-011733 (Illinois) | Primary |
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. Susan Wolf allows following entities to bill medicare on her behalf.
| Entity Name | OSF Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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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. Susan Wolf 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 |
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Susan Wolf, APN
928 W Mount Vernon St,
Metamora, IL 61548-6004
Ph: (309) 367-2229 | Susan Wolf, APN
928 W Mount Vernon St,
Metamora, IL 61548-6004
Ph: (309) 367-2229 |
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