Srie Widuri, in Bronx, NY - Medicare Internal Medicine

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 Name	Srie Widuri
Gender	Female
Speciality	Internal Medicine
Experience	21 Years
Location	1650 Grand Concourse, Bronx, New York
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:

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.

Identifier	Type	State	Issuer
1548525066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA09740700 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Capital Health Medical Center - Hopewell	Pennington, NJ	Hospital
Robert Wood Johnson University Hospital	New brunswick, NJ	Hospital
Capital Health Regional Medical Center	Trenton, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rwjbh Emergency Medicine Associates, Llc	0941612840	647
Rutgers Health-rwj Pediatric Critical Care	1355390287	145
Capital Health Multispecialty Group	1850689894	247

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 Name	Rutgers Health-rwj Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780766527 PECOS PAC ID: 9032174271 Enrollment ID: O20041130000005

Entity Name	Rutgers Health-rwj Pediatric Critical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070

Entity Name	Capital Health Multispecialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162

Entity Name	Rwjbh Emergency Medicine Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Internal Medicine Doctors in Bronx, NY

Selina Sultana Zaman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 718-920-9000
Dr. Jyothi B Kudakandira, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-960-1234
Mana Rao, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Dr. Keshav Teelucksingh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Tannaz Iranpour Boroujeni, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 617-840-0110
Heather Root, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-8592 Fax: 718-405-0610
Kohtaro Ooka, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 844-556-6683

Srie Widuri, - Medicare Internal Medicine in Bronx, NY