DR. EDWARD JAMES WILFONG PH.D.
NPI 1215386248
Psychologist - Clinical in Makawao, HI
About Dr. Edward James Wilfong Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD JAMES WILFONG PH.D. (NPI 1215386248) is an individual clinical provider in Makawao, Hawaii, licensed in Hawaii (PSY-1809) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edward James Wilfong Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edward Wilfong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98662
- Reassigned Medicare billing, Washington enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Wilfong's NPI number?
The NPI number for Edward Wilfong is 1215386248. It was assigned to this individual provider in the NPPES registry on June 9, 2016.
Where is Edward Wilfong located?
Edward Wilfong practices at 331A Pukalani St, Makawao, HI 96768. The listed phone number is (808) 666-9766.
What is Edward Wilfong's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Edward Wilfong enrolled in Medicare?
Yes. Edward Wilfong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edward Wilfong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Wilfong reassigns Medicare benefits to Seatac Senior Psychology LLC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Wilfong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Wilfong accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Edward Wilfong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edward Wilfong was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Edward James Wilfong, PH.D. · NPI 1215386248
Clinical provider in Makawao, Hawaii. Individual provider, active in the CMS NPPES registry since June 9, 2016.
## Identity
- **NPI:** 1215386248 (Entity type: Individual)
- **Enumerated:** June 9, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY-1809 (Hawaii)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 331A PUKALANI ST, Makawao, HI 96768-8433
- **Phone:** (808) 666-9766
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Seatac Senior Psychology LLC (NPI 1639306582, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** March 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215386248) · Data from the CMS NPPES public registry.