Ahmad Raja, DO - Medicare Hospitalist in Wilkes Barre, PA

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Ahmad Raja, DO is a medicare enrolled "Hospitalist" physician in Wilkes Barre, Pennsylvania. His current practice location is 575 N River St, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 829-8111.

Ahmad Raja is licensed to practice in Pennsylvania (license number OS023137) 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 1427673904.

Contact Information

Ahmad Raja, DO
575 N River St,
Wilkes Barre, PA 18764-0999
(570) 829-8111
Not Available

Map and Direction




Physician's Profile

Full NameAhmad Raja
GenderMale
SpecialityHospitalist
Location575 N River St, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427673904
  • Provider Enumeration Date: 06/10/2020
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850745886
  • Enrollment ID: I20230926000374

Medical Identifiers

Medical identifiers for Ahmad Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427673904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist OS023137 (Pennsylvania)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. Ahmad Raja allows following entities to bill medicare on his behalf.
Entity NameAdvanced Inpatient Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871725366
PECOS PAC ID: 6406995778
Enrollment ID: O20091125000458
Entity NameAdvanced Inpatient Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396168589
PECOS PAC ID: 8921230749
Enrollment ID: O20140410000089
Entity NamePennsylvania Hospitalist Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558126342
PECOS PAC ID: 3870035611
Enrollment ID: O20240607000668

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. Ahmad Raja 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 AddressPractice Location Address
Ahmad Raja, DO
575 N River St,
Wilkes Barre, PA 18764-0999

Ph: (570) 829-8111		Ahmad Raja, DO
575 N River St,
Wilkes Barre, PA 18764-0999

Ph: (570) 829-8111

Reviews and Comments


Hospitalist Doctors in Wilkes Barre, PA

Passang Dolma, M.D.
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Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7399    Fax: 570-808-5647
Mousa Thalji, MBB CH
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Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7399    
Dr. Oleg Dvulit, MD
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Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7399    Fax: 570-808-5942
Dr. Virginie Auguste, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 575 North River Street, Wilkes Barre, PA 18764
Phone: 570-552-4450    Fax: 570-552-4455
Sara Aronica, PA-C
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711
Phone: 570-808-7300    
Dr. Rudy A. Carbaugh, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7333    Fax: 570-808-7325
Colby Rowe Wesner, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711
Phone: 570-808-7399    Fax: 570-808-5942

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.