| Michael Widjaja, MD | |
|
299 Kings Daughters Dr, Frankfort, KY 40601-4186 | |
| (502) 875-5240 | |
| Not Available |
| Full Name | Michael Widjaja |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 299 Kings Daughters Dr, Frankfort, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184285249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 56540 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Bluegrass, Inc Dba Bluegrass Care N | Lexington, KY | Hospice |
| Frankfort Regional Medical Center | Frankfort, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Ky, Llc | 0244695104 | 39 |
| Entity Name | Hospital Medicine Services Of Ky, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215634373 PECOS PAC ID: 0244695104 Enrollment ID: O20230427001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Widjaja, MD 2151 Meeting St Apt 12209, Lexington, KY 40509-4662 Ph: (347) 749-8428 | Michael Widjaja, MD 299 Kings Daughters Dr, Frankfort, KY 40601-4186 Ph: (502) 875-5240 |
Laurie Haas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 299 Kings Daughters Dr, Frankfort, KY 40601 Phone: 502-875-5240 | |
Dr. Roger W Strunk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 593 East Main Street, Frankfort, KY 40601 Phone: 502-223-0308 Fax: 502-227-5764 | |
Neeraj Mahboob, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Versailles Rd, Frankfort, KY 40601 Phone: 502-695-3946 Fax: 877-569-3088 | |
Paran Saranga, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 859b East Main Street, Frankfort, KY 40601 Phone: 502-223-2011 | |
Dr. Stephen J Neustat, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 108 Diagnostic Dr, Frankfort, KY 40601 Phone: 502-227-5171 Fax: 502-227-0131 | |
Saurabh Vishnukumar Parasramka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Heights Dr Ste M, Frankfort, KY 40601 Phone: 502-223-2440 Fax: 502-747-7055 |