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Dennis W Wulfeck

Radiology

Allopathic & Osteopathic Physicians

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

PECOS Enrollment

This provider is enrolled in PECOS as DENNIS WULFECK.

Based on the most recent information from CMS, provider Dennis W Wulfeck is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1235156894
Provider Type
Individual
Full Name
Wulfeck, Dennis W
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/17/2006
Last Updated
8/22/2017

Contact Information

Practice Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Mailing Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME68218 Florida

Provider Identifiers

ID	Description	Issuer
ID 252242000	Description Medicaid	Issuer Unlisted Florida
ID 00818595A	Description Medicaid	Issuer Unlisted Georgia
ID 32314	Description Other	Issuer BCBS Florida

Dennis W Wulfeck

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Jones, Jay E

Optimal Jacksonville Llc

Tuttle, Mitch

Sanchez, Frank William

Alderman, Mary

Medical Diagnostic Center Of Jacksonville

Gamba, Jorge L

Howze, Bryan C

Rmed Llc

Mori, Kurt W