Yulius Leonard Haryadi, MD in Dover, NH - Medicare Internal Medicine

Yulius Leonard Haryadi, MD is a medicare enrolled "Internal Medicine" physician in Dover, New Hampshire. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wentworth Douglass Physician Corporation and his current practice location is 10 Members Way Fl 5, Dover, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 609-6800.

Yulius Leonard Haryadi is licensed to practice in New Hampshire (license number 20209) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164943635.

Contact Information

	Yulius Leonard Haryadi, MD
	10 Members Way Fl 5, Dover, NH 03820-5933
	(603) 609-6800
	(603) 609-6820

Map and Direction

Physician's Profile

Full Name	Yulius Leonard Haryadi
Gender	Male
Speciality	Internal Medicine
Experience	12 Years
Location	10 Members Way Fl 5, Dover, New Hampshire
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Yulius Leonard Haryadi graduated from medical school in 2012

NPI Data:

NPI Number: 1164943635
Provider Enumeration Date: 07/05/2017
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 8022432046
Enrollment ID: I20200723002364

Medical Identifiers

Medical identifiers for Yulius Leonard Haryadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164943635	NPI	-	NPPES
3123048	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	20209 (New Hampshire)	Secondary
207R00000X	Internal Medicine	20209 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cornerstone Vna	Rochester, NH	Home health agency
Wentworth Home Care & Hospice, An Amedisys Partner	Somersworth, NH	Home health agency
Wentworth Home Care & Hospice, An Amedisys Partner	Somersworth, NH	Hospice
Cornerstone Vna	Rochester, NH	Hospice
Wentworth-douglass Hospital	Dover, NH	Hospital
York Hospital	York, ME	Hospital
Frisbie Memorial Hospital	Rochester, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wentworth Douglass Physician Corporation	5496749848	372

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. Yulius Leonard Haryadi allows following entities to bill medicare on his behalf.

Entity Name	Wentworth Douglass Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433

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. Yulius Leonard Haryadi 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
Yulius Leonard Haryadi, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 609-6800	Yulius Leonard Haryadi, MD 10 Members Way Fl 5, Dover, NH 03820-5933 Ph: (603) 609-6800

Reviews and Comments

Internal Medicine Doctors in Dover, NH

Dr. Mark Lee Dick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Fl 5, Dover, NH 03820 Phone: 603-609-6800
Mrs. Jhansi Lakshmi Maradana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509
Ravi Teja Pasam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2503 Fax: 603-740-2497
Paul C Tung, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Members Way, Suite 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509
Amy Claire Bessnow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2694
Dylan Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509
Alison M Sollee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Fl 5, Dover, NH 03820 Phone: 603-609-6800

Yulius Leonard Haryadi, MD - Medicare Internal Medicine in Dover, NH