Srie Widuri, - Medicare Internal Medicine in Bronx, NY

Srie Widuri, is a medicare enrolled "Internal Medicine" physician in Bronx, New York. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Rwjbh Emergency Medicine Associates, Llc, Rutgers Health-rwj Pediatric Critical Care, Capital Health Multispecialty Group and her current practice location is 1650 Grand Concourse, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (347) 803-9707.

Srie Widuri is licensed to practice in New Jersey (license number 25MA09740700) 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 1548525066.

Contact Information

Srie Widuri,
1650 Grand Concourse,
Bronx, NY 10457-7606
(347) 803-9707
Not Available

Map and Direction




Physician's Profile

Full NameSrie Widuri
GenderFemale
SpecialityInternal Medicine
Experience21 Years
Location1650 Grand Concourse, Bronx, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Srie Widuri graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1548525066
  • Provider Enumeration Date: 07/10/2012
  • Last Update Date: 10/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5890004006
  • Enrollment ID: I20151029000066

Medical Identifiers

Medical identifiers for Srie Widuri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548525066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA09740700 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Robert Wood Johnson University HospitalNew brunswick, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rwjbh Emergency Medicine Associates, Llc0941612840647
Rutgers Health-rwj Pediatric Critical Care1355390287145
Capital Health Multispecialty Group1850689894247

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. Srie Widuri allows following entities to bill medicare on her behalf.
Entity NameRutgers Health-rwj Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 9032174271
Enrollment ID: O20041130000005
Entity NameRutgers Health-rwj Pediatric Critical Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 1355390287
Enrollment ID: O20050119000070
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162
Entity NameRwjbh Emergency Medicine Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912510041
PECOS PAC ID: 0941612840
Enrollment ID: O20201217002547

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. Srie Widuri 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 AddressPractice Location Address
Srie Widuri,
8 Vauxhall Rd,
East Brunswick, NJ 08816-1717

Ph: () -
Srie Widuri,
1650 Grand Concourse,
Bronx, NY 10457-7606

Ph: (347) 803-9707

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.