Edward Tanudjaja, DO - Internal Medicine in Muskegon, MI

Edward Tanudjaja, DO is a Internal Medicine physician based in Muskegon, Michigan. Edward Tanudjaja is licensed to practice in Michigan (license number 5151015204) and his current practice location is 1500 E Sherman Blvd, Muskegon, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 672-2000.

NPI number for Edward Tanudjaja is 1003499229 and his current mailing address is 18379 Woodland Ridge Dr Apt 6, Spring Lake, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003499229.

Contact Information

Edward Tanudjaja, DO
1500 E Sherman Blvd,
Muskegon, MI 49444-1849
(231) 672-2000
Not Available

Map and Direction




Physician's Profile

Full NameEdward Tanudjaja
GenderMale
SpecialityInternal Medicine
Location1500 E Sherman Blvd, Muskegon, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003499229
  • Provider Enumeration Date: 05/05/2021
  • Last Update Date: 05/05/2021

Medical Identifiers

Medical identifiers for Edward Tanudjaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003499229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5151015204 (Michigan)Primary

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. Edward Tanudjaja is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Tanudjaja, DO
18379 Woodland Ridge Dr Apt 6,
Spring Lake, MI 49456-8924

Ph: (925) 437-8559
Edward Tanudjaja, DO
1500 E Sherman Blvd,
Muskegon, MI 49444-1849

Ph: (231) 672-2000

Reviews and Comments


Internal Medicine Doctors in Muskegon, MI

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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