Danica Wiredja, MD in Stanford, CA

Danica Wiredja, MD is a medicare enrolled "Pathology - Molecular Genetic Pathology" physician in Stanford, California. Her current practice location is 300 Pasteur Drive, Edwards Building, R204, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 721-5755.

Danica Wiredja is licensed to practice in Colorado (license number DR.0071377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811459696.

Contact Information

	Danica Wiredja, MD
	300 Pasteur Drive, Edwards Building, R204, Stanford, CA 94305-4245
	(650) 721-5755
	Not Available

Map and Direction

Physician's Profile

Full Name	Danica Wiredja
Gender	Female
Speciality	Pathology - Molecular Genetic Pathology
Location	300 Pasteur Drive, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811459696
Provider Enumeration Date: 04/02/2019
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3577926492
Enrollment ID: I20230824004357

Medical Identifiers

Medical identifiers for Danica Wiredja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811459696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0007X	Pathology - Molecular Genetic Pathology	DR.0071377 (Colorado)	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. Danica Wiredja allows following entities to bill medicare on her behalf.

Entity Name	University Physicians Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375

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. Danica Wiredja 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
Danica Wiredja, MD Po Box 110429, Aurora, CO 80042-0429 Ph: () -	Danica Wiredja, MD 300 Pasteur Drive, Edwards Building, R204, Stanford, CA 94305-4245 Ph: (650) 721-5755

Reviews and Comments

Pathology Doctors in Stanford, CA

Sara Bakhtary, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Lane 235, Stanford, CA 94305 Phone: 650-723-5252
Dr. Stephen Joseph Galli, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr Lane 235, Stanford University Medical Center Dept Of Pathology, Stanford, CA 94305 Phone: 650-723-7975 Fax: 650-725-6902
Ankur Raj Sangoi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Alarice Cheng-yi Lowe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Martina Lefterova, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Drive, Lane 235, Stanford, CA 94305 Phone: 650-725-8383
Bing Melody Zhang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Yasodha Natkunam, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000

Danica Wiredja, MD - Medicare Pathology in Stanford, CA