Dr Atif Raja, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Marion, Illinois. His current practice location is
3333 W Deyoung St, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at
(210) 617-4445.
Dr Atif Raja is licensed to practice in Illinois (license number 036.158966) 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 1477083806.
Physician's Profile
| Full Name | Dr Atif Raja |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 3333 W Deyoung St, Marion, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477083806
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284013061
- Enrollment ID: I20220624001581
Medical Identifiers
Medical identifiers for Dr Atif Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477083806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.158966 (Illinois) | 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. Dr Atif Raja allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220606001320 |
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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. Dr Atif 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 Address | Practice Location Address |
|---|
Dr Atif Raja,
6918 Camp Bullis Rd,
San Antonio, TX 78256-2236
Ph: (102) 617-4445 | Dr Atif Raja,
3333 W Deyoung St,
Marion, IL 62959-5884
Ph: (210) 617-4445 |
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