Dr Praveen Chandar Balraj, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Queen Creek, Arizona. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Vascular Institute Of Arizona Pllc and his current practice location is
21321 E Ocotillo Rd Ste 125, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 936-7722.
Dr Praveen Chandar Balraj is licensed to practice in Arizona (license number 55078) 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 1447562640.
Physician's Profile
| Full Name | Dr Praveen Chandar Balraj |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 22 Years |
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| Location | 21321 E Ocotillo Rd Ste 125, Queen Creek, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Praveen Chandar Balraj graduated from medical school in 2002
NPI Data:
- NPI Number: 1447562640
- Provider Enumeration Date: 07/06/2010
- Last Update Date: 07/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305159062
- Enrollment ID: I20171121002534
Medical Identifiers
Medical identifiers for Dr Praveen Chandar Balraj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447562640 | NPI | - | NPPES |
| 316871 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | MT191085 (Pennsylvania) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 4301103519 (Michigan) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 55078 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vascular Institute Of Arizona Pllc | 8224430038 | 2 |
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 Praveen Chandar Balraj allows following entities to bill medicare on his behalf.
| Entity Name | Vascular Institute Of Arizona Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093380941
PECOS PAC ID: 8224430038
Enrollment ID: O20210715001258 |
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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 Praveen Chandar Balraj 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 |
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Dr Praveen Chandar Balraj, MD
2040 S Alma School Rd Ste 1,
Chandler, AZ 85286-7076
Ph: (480) 936-7722 | Dr Praveen Chandar Balraj, MD
21321 E Ocotillo Rd Ste 125,
Queen Creek, AZ 85142-5995
Ph: (480) 936-7722 |
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