Dr Christa Marie Widjaja, OD in Plano, TX - Medicare Optometry Provider

Dr Christa Marie Widjaja, OD is a medicare enrolled "Optometrist" provider in Plano, Texas. She went to University Of Houston - College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Plano Eye Associates Pc and her current practice location is 5900 Coit Rd, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 985-1412.

Dr Christa Marie Widjaja is licensed to practice in Texas (license number 9933) 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 1053920546.

Contact Information

	Dr Christa Marie Widjaja, OD
	5900 Coit Rd, Plano, TX 75023-5959
	(972) 985-1412
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Christa Marie Widjaja
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	5900 Coit Rd, Plano, Texas
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:

Dr Christa Marie Widjaja attended and graduated from University Of Houston - College Of Optometry in 2020

NPI Data:

NPI Number: 1053920546
Provider Enumeration Date: 07/30/2020
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4082031935
Enrollment ID: I20200824003441

Medical Identifiers

Medical identifiers for Dr Christa Marie Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053920546	NPI	-	NPPES
4215477	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9933 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Plano Eye Associates Pc	3072575349	7

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. Dr Christa Marie Widjaja allows following entities to bill medicare on her behalf.

Provider Name	Plano Eye Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750581864 PECOS PAC ID: 3072575349 Enrollment ID: O20041028001100

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. Dr Christa Marie Widjaja 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
Dr Christa Marie Widjaja, OD 5900 Coit Rd, Plano, TX 75023-5959 Ph: (972) 985-1412	Dr Christa Marie Widjaja, OD 5900 Coit Rd, Plano, TX 75023-5959 Ph: (972) 985-1412

Reviews and Comments

Optometrist in Plano, TX

Cathy Tran Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2200 Dallas Pkwy Ste 330, Plano, TX 75093 Phone: 972-378-1822
Dr. Ajay S Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9955 Gillespie Dr, Suite 100, Plano, TX 75025 Phone: 972-403-1110 Fax: 972-403-1153
Shawn M Kelly, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2313 W Parker Rd, Plano, TX 75023 Phone: 972-612-2015 Fax: 972-867-5454
Dr. Saadi Marco Darvish, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1208 Village Creek Dr, Suite 104, Plano, TX 75093 Phone: 972-931-1133 Fax: 972-931-5546
Dr. Clarissa J De Paz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 811 N Central Expy, Suite 1000, Plano, TX 75075 Phone: 972-423-3937
Dr. Ernest Lee Cook, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Preston Rd Apt 1123, Plano, TX 75093 Phone: 972-612-6114 Fax: 972-612-6114
Dr. Kenneth M Garza, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Hedgcoxe Rd, Suite 140, Plano, TX 75025 Phone: 469-323-1927

Dr Christa Marie Widjaja, OD - Medicare Optometrist in Plano, TX