Joanna Wenas Widjaja, DC in Sergeant Bluff, IA - Medicare Chiropractor Provider

Joanna Wenas Widjaja, DC is a medicare enrolled "Chiropractor" provider in Sergeant Bluff, Iowa. Her current practice location is 204 1st St Ste 111, Sergeant Bluff, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 301-7537.

Joanna Wenas Widjaja is licensed to practice in Iowa (license number 125921) 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 1639909682.

Contact Information

	Joanna Wenas Widjaja, DC
	204 1st St Ste 111, Sergeant Bluff, IA 51054-8532
	(712) 301-7537
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Joanna Wenas Widjaja
Gender	Female
Speciality	Chiropractor
Location	204 1st St Ste 111, Sergeant Bluff, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639909682
Provider Enumeration Date: 08/05/2024
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6608392246
Enrollment ID: I20250428001939

Medical Identifiers

Medical identifiers for Joanna Wenas Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639909682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	125921 (Iowa)	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. Joanna Wenas Widjaja allows following entities to bill medicare on her behalf.

Provider Name	Jiwa Chiropractic & Wellness
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699596114 PECOS PAC ID: 5799201331 Enrollment ID: O20250428001816

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. Joanna Wenas 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
Joanna Wenas Widjaja, DC 204 1st St Ste 111, Sergeant Bluff, IA 51054-8532 Ph: (712) 823-3127	Joanna Wenas Widjaja, DC 204 1st St Ste 111, Sergeant Bluff, IA 51054-8532 Ph: (712) 301-7537

Reviews and Comments

Chiropractor in Sergeant Bluff, IA

Nissen Family Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 310 1st St, Sergeant Bluff, IA 51054 Phone: 712-943-1589 Fax: 712-943-1591
Shine For Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 Wild Plum Way, Sergeant Bluff, IA 51054 Phone: 712-943-1755
Dr. Lyle D Nissen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 310 1st Street, Sergeant Bluff, IA 51054 Phone: 712-943-1589 Fax: 712-943-1591
Dr. Grant Michael Nobles, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 406 4th St, Suite A, Sergeant Bluff, IA 51054 Phone: 712-943-2068 Fax: 712-943-8082
Level Spine Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 140 Gaul Dr, Sergeant Bluff, IA 51054 Phone: 712-943-6020
Jiwa Chiropractic & Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 204 1st St Ste 111, Sergeant Bluff, IA 51054 Phone: 712-823-3127

Joanna Wenas Widjaja, DC - Medicare Chiropractor in Sergeant Bluff, IA