Ingrid N Wahjudi, MD in Woodland, CA

Ingrid N Wahjudi, MD is a medicare enrolled "Dermatology" physician in Woodland, California. She went to Loma Linda University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dignity Health Medical Foundation and her current practice location is 632 W Gibson Rd, Woodland, California. You can reach out to her office (for appointments etc.) via phone at (530) 668-2600.

Ingrid N Wahjudi is licensed to practice in California (license number A145785) 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 1528479342.

Contact Information

	Ingrid N Wahjudi, MD
	632 W Gibson Rd, Woodland, CA 95695-5169
	(530) 668-2600
	(530) 669-3638

Map and Direction

Physician's Profile

Full Name	Ingrid N Wahjudi
Gender	Female
Speciality	Dermatology
Experience	10 Years
Location	632 W Gibson Rd, Woodland, California
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:

Ingrid N Wahjudi attended and graduated from Loma Linda University School Of Medicine in 2014

NPI Data:

NPI Number: 1528479342
Provider Enumeration Date: 05/14/2014
Last Update Date: 08/07/2020

Medicare PECOS Information:

PECOS PAC ID: 5294066338
Enrollment ID: I20191003003279

Medical Identifiers

Medical identifiers for Ingrid N Wahjudi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528479342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A145785 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy General Hospital	Sacramento, CA	Hospital
Woodland Memorial Hospital	Woodland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dignity Health Medical Foundation	7810800661	1199

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. Ingrid N Wahjudi allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Ingrid N Wahjudi 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
Ingrid N Wahjudi, MD 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () -	Ingrid N Wahjudi, MD 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600

Reviews and Comments

Dermatology Doctors in Woodland, CA

Dr. Christie Lyn Carroll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638
Dr. Debra A Horney, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1063
Dr. Maulik Manharlal Dhandha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-3638

Ingrid N Wahjudi, MD - Medicare Dermatology in Woodland, CA