Michael Widjaja, MD in Frankfort, KY - Medicare Internal Medicine

Michael Widjaja, MD is a medicare enrolled "Internal Medicine" physician in Frankfort, Kentucky. His current practice location is 299 Kings Daughters Dr, Frankfort, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 875-5240.

Michael Widjaja is licensed to practice in Kentucky (license number 56540) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184285249.

Contact Information

	Michael Widjaja, MD
	299 Kings Daughters Dr, Frankfort, KY 40601-4186
	(502) 875-5240
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Widjaja
Gender	Male
Speciality	Internal Medicine
Location	299 Kings Daughters Dr, Frankfort, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184285249
Provider Enumeration Date: 06/27/2019
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6507240330
Enrollment ID: I20220829001793

Medical Identifiers

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

Identifier	Type	State	Issuer
1184285249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	56540 (Kentucky)	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. Michael Widjaja allows following entities to bill medicare on his behalf.

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

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. Michael 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
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

Reviews and Comments

Internal Medicine Doctors in Frankfort, KY

Laurie Haas, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 299 Kings Daughters Dr, Frankfort, KY 40601 Phone: 502-875-5240
Dr. Roger W Strunk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 East Main Street, Frankfort, KY 40601 Phone: 502-223-0308 Fax: 502-227-5764
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
Abdolkarim Tahanasab, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Physicians Park, Frankfort, KY 40601 Phone: 502-875-1559

Michael Widjaja, MD - Medicare Internal Medicine in Frankfort, KY