Juwono Lindawati Sutedjo, MD in Stanford, CA

Juwono Lindawati Sutedjo, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Stanford, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Juwono Lindawati Sutedjo is licensed to practice in California (license number C180691) 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 1114072980.

Contact Information

	Juwono Lindawati Sutedjo, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Juwono Lindawati Sutedjo
Gender	Female
Speciality	Internal Medicine
Experience	18 Years
Location	300 Pasteur Dr, Stanford, 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:

Juwono Lindawati Sutedjo graduated from medical school in 2006

NPI Data:

NPI Number: 1114072980
Provider Enumeration Date: 01/24/2007
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9638319015
Enrollment ID: I20221214000247

Medical Identifiers

Medical identifiers for Juwono Lindawati Sutedjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114072980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	21983 (Montana)	Secondary
207R00000X	Internal Medicine	228744 (Massachusetts)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	21983 (Montana)	Secondary
207UN0901X	Nuclear Medicine - Nuclear Cardiology	C180691 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	C180691 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Petaluma Valley Hospital	Petaluma, CA	Hospital
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Juwono Lindawati Sutedjo allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Juwono Lindawati Sutedjo 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
Juwono Lindawati Sutedjo, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Juwono Lindawati Sutedjo, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Yu Kuang Lai, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Meghan Brady Marmor, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Lauren Michelle Ulsh, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Juwono Lindawati Sutedjo, MD - Medicare Internal Medicine in Stanford, CA