Ira Paula Wardono, MD in Tarzana, CA

Ira Paula Wardono, MD is a medicare enrolled "Pediatrics" physician in Tarzana, California. Her current practice location is 18321 Clark St, Tarzana, California. You can reach out to her office (for appointments etc.) via phone at (818) 881-0800.

Ira Paula Wardono is licensed to practice in California (license number A112875) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134324148.

Contact Information

	Ira Paula Wardono, MD
	18321 Clark St, Tarzana, CA 91356-3501
	(818) 881-0800
	Not Available

Map and Direction

Physician's Profile

Full Name	Ira Paula Wardono
Gender	Female
Speciality	Pediatrics
Location	18321 Clark St, Tarzana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134324148
Provider Enumeration Date: 06/19/2007
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 7618065327
Enrollment ID: I20160401001092

Medical Identifiers

Medical identifiers for Ira Paula Wardono such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134324148	NPI	-	NPPES
1020378080001	Medicaid	PA
001993563	Other	PA	BLUE SHIELD
824184	Other	PA	FPH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD431846 (Pennsylvania)	Secondary
208000000X	Pediatrics	A112875 (California)	Primary

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. Ira Paula Wardono allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Entity Name	Cedars-sinai Medical Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464

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. Ira Paula Wardono 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
Ira Paula Wardono, MD 6430 W Sunset Blvd, Suite 600, Los Angeles, CA 90028-7900 Ph: (323) 361-2337	Ira Paula Wardono, MD 18321 Clark St, Tarzana, CA 91356-3501 Ph: (818) 881-0800

Reviews and Comments

Pediatrics Doctors in Tarzana, CA

Linda Lea Perl Adatto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712
Dr. Larry Eisenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18372 Clark St, #216, Tarzana, CA 91356 Phone: 818-705-8559 Fax: 818-705-6475
Jennifer Levy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800
Anita Giselle Wright, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4003 Clarinda Dr, Tarzana, CA 91356 Phone: 818-262-0949
Breahn Faye-merie Donaldson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18555 Ventura Blvd Ste B, Tarzana, CA 91356 Phone: 818-614-3088
Malik Oscar White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800
Monica P Kandavel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712

Ira Paula Wardono, MD - Medicare Pediatrics in Tarzana, CA