Dr Craig William Raphael, MD - Medicare Internal Medicine in Upland, PA

Dr Craig William Raphael, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Upland, Pennsylvania. His current practice location is One Medical Center Blvd, Bldg 1 Ste 400, Upland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 876-2400.

Dr Craig William Raphael is licensed to practice in Pennsylvania (license number MD478651) 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 1578981940.

Contact Information

Dr Craig William Raphael, MD
One Medical Center Blvd, Bldg 1 Ste 400,
Upland, PA 19013-3902
(610) 876-2400
Not Available

Map and Direction




Physician's Profile

Full NameDr Craig William Raphael
GenderMale
SpecialityInternal Medicine - Clinical Cardiac Electrophysiology
LocationOne Medical Center Blvd, Upland, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578981940
  • Provider Enumeration Date: 04/02/2014
  • Last Update Date: 08/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850713082
  • Enrollment ID: I20220714001863

Medical Identifiers

Medical identifiers for Dr Craig William Raphael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578981940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology MD478651 (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. Dr Craig William Raphael allows following entities to bill medicare on his behalf.
Entity NameCardiology Consultants Of Philadelphia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649272386
PECOS PAC ID: 5294620746
Enrollment ID: O20040216000462

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 Craig William Raphael 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
Dr Craig William Raphael, MD
207 N Broad St Fl 3,
Philadelphia, PA 19107-1500

Ph: (267) 479-4142
Dr Craig William Raphael, MD
One Medical Center Blvd, Bldg 1 Ste 400,
Upland, PA 19013-3902

Ph: (610) 876-2400

Reviews and Comments


Internal Medicine Doctors in Upland, PA

George Randolph Westby, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Sat P. Arora, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Kenneth R Lander, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 202, Upland, PA 19013
Phone: 610-447-8840    Fax: 610-447-8895
Chike Nathan Okechukwu, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188
Humaira Mahbub, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 404, Upland, PA 19013
Phone: 610-619-8590    Fax: 610-619-8591
W Alan Keogh, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Ste 341, Upland, PA 19013
Phone: 610-619-7420    Fax: 610-876-6923
Roy G. Marcus, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013
Phone: 610-872-8501    Fax: 610-872-5188

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.