David Widjaja, MD in Bronx, NY - Medicare Gastroenterology

David Widjaja, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Bronx, New York. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Innovis Health Llc and his current practice location is 1650 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 960-1234.

David Widjaja is licensed to practice in New York (license number 275018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194985291.

Contact Information

	David Widjaja, MD
	1650 Grand Concourse, Bronx, NY 10457-7606
	(718) 960-1234
	Not Available

Map and Direction

Physician's Profile

Full Name	David Widjaja
Gender	Male
Speciality	Gastroenterology
Experience	28 Years
Location	1650 Grand Concourse, Bronx, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Widjaja graduated from medical school in 1996

NPI Data:

NPI Number: 1194985291
Provider Enumeration Date: 06/11/2008
Last Update Date: 05/14/2014

Medicare PECOS Information:

PECOS PAC ID: 7315013703
Enrollment ID: I20180920002035

Medical Identifiers

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

Identifier	Type	State	Issuer
1194985291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	275018 (New York)	Primary
207RG0300X	Internal Medicine - Geriatric Medicine	275018 (New York)	Secondary
207R00000X	Internal Medicine	275018 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

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. David Widjaja allows following entities to bill medicare on his behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. David 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
David Widjaja, MD 1650 Selwyn Ave, 10th Floor, Bronx, NY 10457-7626 Ph: (718) 960-1234	David Widjaja, MD 1650 Grand Concourse, Bronx, NY 10457-7606 Ph: (718) 960-1234

Reviews and Comments

Internal Medicine Doctors in Bronx, NY

Selina Sultana Zaman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 718-920-9000
Dr. Jyothi B Kudakandira, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-960-1234
Mana Rao, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Dr. Keshav Teelucksingh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Tannaz Iranpour Boroujeni, M.D Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 617-840-0110
Heather Root, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-8592 Fax: 718-405-0610
Kohtaro Ooka, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 844-556-6683

David Widjaja, MD - Medicare Gastroenterology in Bronx, NY