Armand Widjaja, MD in Irvine, CA - Medicare Pediatrics

Armand Widjaja, MD is a medicare enrolled "Pediatrics" physician in Irvine, California. His current practice location is 250 E Yale Loop Ste 200, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 551-1090.

Armand Widjaja is licensed to practice in California (license number A98710) 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 1336335322.

Contact Information

	Armand Widjaja, MD
	250 E Yale Loop Ste 200, Irvine, CA 92604-4697
	(949) 551-1090
	(949) 262-5500

Map and Direction

Physician's Profile

Full Name	Armand Widjaja
Gender	Male
Speciality	Pediatrics
Location	250 E Yale Loop Ste 200, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336335322
Provider Enumeration Date: 09/24/2007
Last Update Date: 03/03/2020

Medicare PECOS Information:

PECOS PAC ID: 3779636063
Enrollment ID: I20090804000517

Medical Identifiers

Medical identifiers for Armand Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336335322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A98710 (California)	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. Armand Widjaja allows following entities to bill medicare on his behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Armand 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
Armand Widjaja, MD 17360 Brookhurst St, Attn: Network Management, Fountain Valley, CA 92708-3720 Ph: (714) 549-1300	Armand Widjaja, MD 250 E Yale Loop Ste 200, Irvine, CA 92604-4697 Ph: (949) 551-1090

Reviews and Comments

Pediatrics Doctors in Irvine, CA

Dr. Marnie Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Barranca Pkwy Ste 170, Irvine, CA 92604 Phone: 949-551-1090 Fax: 949-262-5500
Dr. Manpreet Kaur Sarna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Endeavor Ste 101, Irvine, CA 92618 Phone: 949-509-9915 Fax: 949-509-1116
Jeffrey G Lobas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 313 Tall Oak, Irvine, CA 92603 Phone: 480-789-1819
Dr. Neerja Tina Zand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Ashford, Irvine, CA 92618 Phone: 949-786-0414
Dr. Daniel Joseph Otterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Drive, Irvine, CA 92697 Phone: 949-824-8600
Dr. Grady B Huckaby Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Barranca Pkwy, Suite 270, Irvine, CA 92604 Phone: 949-559-5601 Fax: 949-559-7115
Dr. Renee Stein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 Linhaven, Irvine, CA 92602 Phone: 714-368-0655

Armand Widjaja, MD - Medicare Pediatrics in Irvine, CA