Mr Bradley Wolf, PSYD, LP in Mission Viejo, CA - Medicare Psychologist Provider

Mr Bradley Wolf, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Mission Viejo, California. His current practice location is 27401 Los Altos Ste 120, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (562) 431-8822.

Mr Bradley Wolf is licensed to practice in California (license number 34607) 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 1083192801.

Contact Information

	Mr Bradley Wolf, PSYD, LP
	27401 Los Altos Ste 120, Mission Viejo, CA 92691-8580
	(562) 431-8822
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bradley Wolf
Gender	Male
Speciality	Psychologist - Clinical
Location	27401 Los Altos Ste 120, Mission Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083192801
Provider Enumeration Date: 08/02/2018
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 8123460276
Enrollment ID: I20240521003937

Medical Identifiers

Medical identifiers for Mr Bradley Wolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083192801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34607 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Mr Bradley Wolf allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mr Bradley 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
Mr Bradley Wolf, PSYD, LP 27401 Los Altos Ste 120, Mission Viejo, CA 92691-8580 Ph: (562) 431-8822	Mr Bradley Wolf, PSYD, LP 27401 Los Altos Ste 120, Mission Viejo, CA 92691-8580 Ph: (562) 431-8822

Reviews and Comments

Psychologist in Mission Viejo, CA

Dr. Sharon M. Gruber, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26431 Crown Valley Pkwy, Suite #100, Mission Viejo, CA 92691 Phone: 949-348-6700
Dr. Lilya Kruglyansky Reiss, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26381 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-374-6550 Fax: 949-916-6245
Stephanie Marie Porras, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24000 Alicia Pkwy # 17-357, Mission Viejo, CA 92691 Phone: 951-207-0709
Jacqlyn Quintina Wax, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27201 Puerta Real Ste 300, Mission Viejo, CA 92691 Phone: 949-354-4147
Dr. Stuart Kirschbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27001 La Paz Rd, Suite 418, Mission Viejo, CA 92691 Phone: 949-215-2500 Fax: 949-203-8686
Dr. Bonnie Lee Hedlund, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27001 La Paz Rd, Suite 254, Mission Viejo, CA 92691 Phone: 949-282-8310 Fax: 949-472-0307
Casey Cooper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27281 Las Ramblas, Ste 200, Mission Viejo, CA 92691 Phone: 949-420-3067 Fax: 949-305-4171

Mr Bradley Wolf, PSYD, LP - Medicare Psychologist in Mission Viejo, CA