Dr Rajaraman Subramanian Iyer, MD is a medicare enrolled "Pediatrics" physician in East Chicago, Indiana. His current practice location is
4320 Fir St, Ste 208, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 398-9265.
Dr Rajaraman Subramanian Iyer is licensed to practice in Indiana (license number 01055306) 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 1538150842.
Physician's Profile
| Full Name | Dr Rajaraman Subramanian Iyer |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 4320 Fir St, East Chicago, Indiana |
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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: 1538150842
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 02/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 4284704305
- Enrollment ID: I20100820000171
Medical Identifiers
Medical identifiers for Dr Rajaraman Subramanian Iyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538150842 | NPI | - | NPPES |
| 200378620 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 01055306 (Indiana) | 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 Rajaraman Subramanian Iyer allows following entities to bill medicare on his behalf.
| Entity Name | 219 Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093213506
PECOS PAC ID: 0547521452
Enrollment ID: O20180308002615 |
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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 Rajaraman Subramanian Iyer 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 Rajaraman Subramanian Iyer, MD
10006 Tanglewood Ct,
Munster, IN 46321-3836
Ph: (219) 398-9265 | Dr Rajaraman Subramanian Iyer, MD
4320 Fir St, Ste 208,
East Chicago, IN 46312-3052
Ph: (219) 398-9265 |
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