Courtney Yung Widjaja, MD in Lawrenceville, GA

Courtney Yung Widjaja, MD is a medicare enrolled "Pediatrics" physician in Lawrenceville, Georgia. Her current practice location is 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 995-0823.

Courtney Yung Widjaja is licensed to practice in Georgia (license number 92344) 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 1356904379.

Contact Information

	Courtney Yung Widjaja, MD
	595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046
	(770) 995-0823
	(770) 995-7018

Map and Direction

Physician's Profile

Full Name	Courtney Yung Widjaja
Gender	Female
Speciality	Pediatrics
Location	595 Hurricane Shoals Road Nw, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356904379
Provider Enumeration Date: 04/16/2019
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 8224365440
Enrollment ID: I20190812001290

Medical Identifiers

Medical identifiers for Courtney Yung Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356904379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	10825 (Georgia)	Secondary
208000000X	Pediatrics	92344 (Georgia)	Primary

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. Courtney Yung 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
Courtney Yung Widjaja, MD 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Ph: (770) 995-0823	Courtney Yung Widjaja, MD 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Ph: (770) 995-0823

Reviews and Comments

Pediatrics Doctors in Lawrenceville, GA

Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018
Keyana Renee Washington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018

Courtney Yung Widjaja, MD - Medicare Pediatrics in Lawrenceville, GA