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DEVON WOOLFOLK PA-C
NPI 1366811416
Physician Assistant - Medical in Mountain Top, PA

Active since September 18, 2015PECOS EnrolledAccepts Medicare Assignment
239 S MOUNTAIN BLVD, SUITE 100, MOUNTAIN TOP, PA 18707(570) 715-7950(570) 474-0962 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Devon Woolfolk Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVON WOOLFOLK PA-C (NPI 1366811416) is an individual medical provider in Mountain Top, Pennsylvania, licensed in Pennsylvania (MA057824) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edwardsville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366811416
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDEVON WOOLFOLKCredential: PA-C
Location Address239 S MOUNTAIN BLVD, SUITE 100Mountain Top, PA 18707-1911
Mailing Address610 Wyoming AveKingston, PA 18704-3702 · (570) 288-5441 · Fax (570) 288-5842
Phone(570) 715-7950
Fax(570) 474-0962
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 18, 2015
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1366811416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA057824
239 S MOUNTAIN BLVD, Mountain Top, PA 18707
Open in Google Maps ↗

Secondary Practice Location 1

Location 1276 W Side MallEdwardsville, PA 18704-3117 · Phone (570) 283-0791

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Devon Woolfolk Pa-c 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.

PECOS PAC ID5799094702
PECOS Enrollment IDI20151014000562
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services116 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services66 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services30 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
56 services55 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
50 services40 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL JOHN DUDRICK M.D.
Family Medicine
239 S MOUNTAIN BLVD, SUITE 100
MOUNTAIN TOP, PA 18707
Luzerne County (570) 474-9300
MICHAEL ANTHONY MOCLOCK MD
Family Medicine
239 S MOUNTAIN BLVD, SUITE 600
MOUNTAIN TOP, PA 18707
Luzerne County (570) 474-9300

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 Devon Woolfolk's NPI number?

The NPI number for Devon Woolfolk is 1366811416. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is Devon Woolfolk located?

Devon Woolfolk practices at 239 S Mountain Blvd Suite 100, Mountain Top, PA 18707. The listed phone number is (570) 715-7950.

What is Devon Woolfolk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Devon Woolfolk enrolled in Medicare?

Yes. Devon Woolfolk 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.

When was this NPI record last updated?

The NPPES record for Devon Woolfolk was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.