Connie T Widdowson, D O in Dublin, CA - Medicare Obstetrics & Gynecology

Connie T Widdowson, D O is a medicare enrolled "Obstetrics & Gynecology" physician in Dublin, California. Her current practice location is 4050 Dublin Blvd, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (925) 875-6100.

Connie T Widdowson is licensed to practice in California (license number 20A10427) 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 1053570267.

Contact Information

	Connie T Widdowson, D O
	4050 Dublin Blvd, Dublin, CA 94568-3112
	(925) 875-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	Connie T Widdowson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	4050 Dublin Blvd, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053570267
Provider Enumeration Date: 06/03/2008
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9032304712
Enrollment ID: I20101108000561

Medical Identifiers

Medical identifiers for Connie T Widdowson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053570267	NPI	-	NPPES
20A10427	Other	CA	CA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	20A10427 (California)	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. Connie T Widdowson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Connie T Widdowson 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
Connie T Widdowson, D O 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-5356	Connie T Widdowson, D O 4050 Dublin Blvd, Dublin, CA 94568-3112 Ph: (925) 875-6100

Reviews and Comments

Obstetrics & Gynecology Doctors in Dublin, CA

Dr. Michelle M Oliveira, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6546
Leah Sharon Millheiser, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6546
Nam X Nguyen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6546
Nancy N Pham-thomas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6546
Dr. Pallavi Shikaripur Nadig, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6211
Dr. Nancy Zhining Tang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4000 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100

Connie T Widdowson, D O - Medicare Obstetrics & Gynecology in Dublin, CA