Dr Darrell Sutijono, MD in New Haven, CT - Medicare Emergency Medicine

Dr Darrell Sutijono, MD is a medicare enrolled "Emergency Medicine" physician in New Haven, Connecticut. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 464 Congress Ave, Suite 260, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 785-3637.

Dr Darrell Sutijono is licensed to practice in Connecticut (license number 047403) 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 1508061474.

Contact Information

	Dr Darrell Sutijono, MD
	464 Congress Ave, Suite 260, New Haven, CT 06519-1361
	(203) 785-3637
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Darrell Sutijono
Gender	Male
Speciality	Emergency Medicine
Experience	19 Years
Location	464 Congress Ave, New Haven, Connecticut
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:

Dr Darrell Sutijono graduated from medical school in 2005

NPI Data:

NPI Number: 1508061474
Provider Enumeration Date: 06/19/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8921153511
Enrollment ID: I20101026001172

Medical Identifiers

Medical identifiers for Dr Darrell Sutijono such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508061474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	250087-1 (New York)	Secondary
207P00000X	Emergency Medicine	A106810 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	047403 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital-santa Clara	Santa clara, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Darrell Sutijono allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Darrell Sutijono 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 Darrell Sutijono, MD 120 Greenwich St, #9j, New York, NY 10006-1500 Ph: () -	Dr Darrell Sutijono, MD 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 Ph: (203) 785-3637

Reviews and Comments

Emergency Medicine Doctors in New Haven, CT

Sandra Seelig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Charles Ryan Wira Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510 Phone: 203-688-2222 Fax: 203-785-4580
Lisa Tian-tian Zhang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Mary S Bogucki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414
Dr. Daniel Seth Greenstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, New Haven, CT 06519 Phone: 203-688-4242
Mr. Jonathan Meldrum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, Suite #260, New Haven, CT 06519 Phone: 203-737-2644
John Richard Deguardi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 518-698-7975

Dr Darrell Sutijono, MD - Medicare Emergency Medicine in New Haven, CT