Gunardi Nyoto Irawan, MD in Northborough, MA

Gunardi Nyoto Irawan, MD is a medicare enrolled "Internal Medicine" physician in Northborough, Massachusetts. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Portland Clinic and his current practice location is 162 Main St, Northborough, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 393-1307.

Gunardi Nyoto Irawan is licensed to practice in Massachusetts (license number 269613) 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 1053752832.

Contact Information

	Gunardi Nyoto Irawan, MD
	162 Main St, Northborough, MA 01532-1930
	(508) 393-1307
	(508) 393-2824

Map and Direction

Physician's Profile

Full Name	Gunardi Nyoto Irawan
Gender	Male
Speciality	Internal Medicine
Experience	13 Years
Location	162 Main St, Northborough, Massachusetts
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:

Gunardi Nyoto Irawan graduated from medical school in 2011

NPI Data:

NPI Number: 1053752832
Provider Enumeration Date: 07/09/2013
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 1557648961
Enrollment ID: I20230215001261

Medical Identifiers

Medical identifiers for Gunardi Nyoto Irawan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053752832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	269613 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umass Memorial Medical Center/university Campus	Worcester, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portland Clinic	8224942867	99

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. Gunardi Nyoto Irawan allows following entities to bill medicare on his behalf.

Entity Name	Portland Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101

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. Gunardi Nyoto Irawan 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
Gunardi Nyoto Irawan, MD 171 Main St Ste 203b, Ashland, MA 01721-1187 Ph: (508) 881-3029	Gunardi Nyoto Irawan, MD 162 Main St, Northborough, MA 01532-1930 Ph: (508) 393-1307

Reviews and Comments

Internal Medicine Doctors in Northborough, MA

Dr. Bryan Matthew Mcguirk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Sw Cutoff, Northborough, MA 01532 Phone: 774-570-5000 Fax: 774-570-5050
Farhan Ibrahimi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10,010 K Shops Way, Northborough, MA 01532 Phone: 508-936-3866
Stacia Remsburg Sailer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Sw Cutoff, Northborough, MA 01532 Phone: 774-570-5000 Fax: 774-570-5050
Dr. Connie R Drexler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Main St, Suite 108, Northborough, MA 01532 Phone: 508-393-9503
Mark Benjamin Davidson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Main St, Northborough, MA 01532 Phone: 508-393-9503 Fax: 508-393-9670
Saqib N Qureshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Main St Ste 115, Northborough, MA 01532 Phone: 508-393-6655 Fax: 508-393-4585

Gunardi Nyoto Irawan, MD - Medicare Internal Medicine in Northborough, MA