Ika Noviawaty, MD in Boston, MA - Medicare Neurology

Ika Noviawaty, MD is a medicare enrolled "Psychiatry & Neurology - Epilepsy" physician in Boston, Massachusetts. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Boston University Neurology Associates Inc and her current practice location is 725 Albany Street, Suite 7b, Shapiro Building, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 638-8456.

Ika Noviawaty is licensed to practice in Massachusetts (license number 265068) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265675292.

Contact Information

	Ika Noviawaty, MD
	725 Albany Street, Suite 7b, Shapiro Building, Boston, MA 02118
	(617) 638-8456
	(617) 638-8465

Map and Direction

Physician's Profile

Full Name	Ika Noviawaty
Gender	Female
Speciality	Neurology
Experience	19 Years
Location	725 Albany Street, Suite 7b, Boston, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ika Noviawaty graduated from medical school in 2005

NPI Data:

NPI Number: 1265675292
Provider Enumeration Date: 04/06/2009
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3375847890
Enrollment ID: I20160203002159

Medical Identifiers

Medical identifiers for Ika Noviawaty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265675292	NPI	-	NPPES
3104891	Medicaid	NH
110108436A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	265068 (Massachusetts)	Secondary
2084E0001X	Psychiatry & Neurology - Epilepsy	265068 (Massachusetts)	Primary
2084N0400X	Psychiatry & Neurology - Neurology	265068 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boston Medical Center	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boston University Neurology Associates Inc	6608772462	48

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. Ika Noviawaty allows following entities to bill medicare on her behalf.

Entity Name	Boston University Neurology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005436 PECOS PAC ID: 6608772462 Enrollment ID: O20031211000403

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Ika Noviawaty 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
Ika Noviawaty, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118 Ph: () -	Ika Noviawaty, MD 725 Albany Street, Suite 7b, Shapiro Building, Boston, MA 02118 Ph: (617) 638-8456

Reviews and Comments

Psychiatry & Neurology Doctors in Boston, MA

Dr. Lee Edwin Goldstein, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 670 Albany St, Boston, MA 02118 Phone: 617-414-8361 Fax: 617-414-7073
Dr. Joseph Yeretsian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 Newbury St Fl 5, Boston, MA 02115 Phone: 617-865-4910 Fax: 617-507-1426
Dr. Michael Gulliver Erkkinen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500
Dr. Joseph Jeffrey Taylor, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Fenwood Rd, Boston, MA 02115 Phone: 617-732-5500
Sanjay Menon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 Phone: 857-238-5600
Fatemeh Mohammadpour Touserkani, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Lara Basovic, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Parkman St Fl 8, Boston, MA 02114 Phone: 617-726-3311 Fax: 617-726-9250

Ika Noviawaty, MD - Medicare Neurology in Boston, MA