Brian A Wolf, PHD - Medicare Psychologist in Kenosha, WI

Brian A Wolf, PHD is a medicare enrolled "Psychologist - Clinical" provider in Kenosha, Wisconsin. His current practice location is 2108 63rd St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 652-2406.

Brian A Wolf is licensed to practice in Wisconsin (license number 1039-057) 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 1609982040.

Contact Information

Brian A Wolf, PHD
2108 63rd St,
Kenosha, WI 53143-4454
(262) 652-2406
(262) 652-2408

Map and Direction




Healthcare Provider's Profile

Full NameBrian A Wolf
GenderMale
SpecialityPsychologist - Clinical
Location2108 63rd St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609982040
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 06/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426216680
  • Enrollment ID: I20120521000466

Medical Identifiers

Medical identifiers for Brian A Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609982040NPI-NPPES
39046000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1039-057 (Wisconsin)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 12126 (Wisconsin)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. Brian A Wolf allows following entities to bill medicare on his behalf.
Entity NameProfessional Services Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742

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. Brian A 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 AddressPractice Location Address
Brian A Wolf, PHD
6233 39th Ave,
Kenosha, WI 53142-7015

Ph: (262) 654-1004
Brian A Wolf, PHD
2108 63rd St,
Kenosha, WI 53143-4454

Ph: (262) 652-2406

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.