Hedy Lydia Siedarta, in Philadelphia, PA - Medicare Nurse Practitioner

Hedy Lydia Siedarta, is a medicare enrolled "Nurse Practitioner - Primary Care" in Philadelphia, Pennsylvania. Her current practice location is 6232 Market St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 383-0191.

Hedy Lydia Siedarta is licensed to practice in Pennsylvania (license number SP026217) 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 1659091437.

Contact Information

	Hedy Lydia Siedarta,
	6232 Market St, Philadelphia, PA 19139-2922
	(215) 383-0191
	Not Available

Map and Direction

Provider's Profile

Full Name	Hedy Lydia Siedarta
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	6232 Market St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659091437
Provider Enumeration Date: 08/31/2022
Last Update Date: 09/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4284019894
Enrollment ID: I20220919001375

Medical Identifiers

Medical identifiers for Hedy Lydia Siedarta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659091437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP026217 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP026217 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	SP026217 (Pennsylvania)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP026217 (Pennsylvania)	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. Hedy Lydia Siedarta allows following entities to bill medicare on her behalf.

Entity Name	Rittenhouse Internal Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568631430 PECOS PAC ID: 8820173081 Enrollment ID: O20080312000081

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. Hedy Lydia Siedarta 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
Hedy Lydia Siedarta, 1800 S 13th St, Philadelphia, PA 19148-2126 Ph: (267) 467-0409	Hedy Lydia Siedarta, 6232 Market St, Philadelphia, PA 19139-2922 Ph: (215) 383-0191

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
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Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Hedy Lydia Siedarta, - Medicare Nurse Practitioner in Philadelphia, PA