Ivan Wudexi, MD in Buffalo, NY - Medicare Internal Medicine

Ivan Wudexi, MD is a medicare enrolled "Internal Medicine" physician in Buffalo, New York. His current practice location is 2157 Main St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 862-1423.

Ivan Wudexi is licensed to practice in New Mexico (license number MD2022-1572) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043831316.

Contact Information

	Ivan Wudexi, MD
	2157 Main St, Buffalo, NY 14214
	(716) 862-1423
	Not Available

Map and Direction

Physician's Profile

Full Name	Ivan Wudexi
Gender	Male
Speciality	Internal Medicine
Location	2157 Main St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043831316
Provider Enumeration Date: 04/28/2020
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1951758903
Enrollment ID: I20231113001830

Medical Identifiers

Medical identifiers for Ivan Wudexi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043831316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD2022-1572 (New Mexico)	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. Ivan Wudexi allows following entities to bill medicare on his behalf.

Entity Name	Unm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589

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. Ivan Wudexi 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
Ivan Wudexi, MD 2157 Main St, Buffalo, NY 14214 Ph: (716) 862-1423	Ivan Wudexi, MD 2157 Main St, Buffalo, NY 14214 Ph: (716) 862-1423

Reviews and Comments

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Ivan Wudexi, MD - Medicare Internal Medicine in Buffalo, NY