Dr Abraham W Widjaja, DC in Minneapolis, MN - Medicare Chiropractor Provider

Dr Abraham W Widjaja, DC is a medicare enrolled "Chiropractor" provider in Minneapolis, Minnesota. His current practice location is 2201 Hennepin Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 377-7760.

Dr Abraham W Widjaja is licensed to practice in Minnesota (license number 7123) 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 1487334454.

Contact Information

	Dr Abraham W Widjaja, DC
	2201 Hennepin Ave, Minneapolis, MN 55405-2738
	(612) 377-7760
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Abraham W Widjaja
Gender	Male
Speciality	Chiropractor
Location	2201 Hennepin Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487334454
Provider Enumeration Date: 07/24/2023
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9537522727
Enrollment ID: I20230906001989

Medical Identifiers

Medical identifiers for Dr Abraham W Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487334454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	7123 (Minnesota)	Primary

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. Dr Abraham W Widjaja allows following entities to bill medicare on his behalf.

Provider Name	Uptown Natural Care Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366597320 PECOS PAC ID: 7517947211 Enrollment ID: O20040722001307

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. Dr Abraham W Widjaja 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
Dr Abraham W Widjaja, DC 1770 Bryant Ave S Apt 201, Minneapolis, MN 55403-3140 Ph: (712) 212-1236	Dr Abraham W Widjaja, DC 2201 Hennepin Ave, Minneapolis, MN 55405-2738 Ph: (612) 377-7760

Reviews and Comments

Chiropractor in Minneapolis, MN

Dr. Taylor Meyers, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2837 Lyndale Ave S, Minneapolis, MN 55408 Phone: 612-872-9596
Minneapolis Health & Wellness Ne, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 Phone: 952-237-8549
Dr. James A Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2903 E 42nd St, Minneapolis, MN 55406 Phone: 612-722-2147
Dr. Ryne D Devries, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4847 Chicago Ave, Ste 10, Minneapolis, MN 55407 Phone: 612-492-1961
Dr. Nichole Alexandra Borell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5536 Chicago Ave, Minneapolis, MN 55417 Phone: 612-827-0657 Fax: 612-827-3102
Cynthia Heiserman, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3511 Emerson Avenue North, Minneapolis, MN 55412 Phone: 612-529-2218
Dr. Kristi Lea Zimmerman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2751 Hennepin Ave, Suite 311, Minneapolis, MN 55408 Phone: 612-382-6343

Dr Abraham W Widjaja, DC - Medicare Chiropractor in Minneapolis, MN