Mamtha Raj, MD, MA in Chicago, IL - Medicare Plastic Surgery

Mamtha Raj, MD, MA is a medicare enrolled "Plastic Surgery" physician in Chicago, Illinois. Her current practice location is 1725 W Harrison St Ste 425, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 563-3000.

Mamtha Raj is licensed to practice in Illinois (license number 036166530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356796700.

Contact Information

	Mamtha Raj, MD, MA
	1725 W Harrison St Ste 425, Chicago, IL 60612-3893
	(312) 563-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mamtha Raj
Gender	Female
Speciality	Plastic Surgery
Location	1725 W Harrison St Ste 425, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356796700
Provider Enumeration Date: 05/03/2016
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8527351436
Enrollment ID: I20220916001366

Medical Identifiers

Medical identifiers for Mamtha Raj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356796700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	66577 (Connecticut)	Secondary
208200000X	Plastic Surgery	MT210474 (Pennsylvania)	Secondary
208200000X	Plastic Surgery	036166530 (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. Mamtha Raj allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Mamtha Raj 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
Mamtha Raj, MD, MA 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 Ph: (312) 563-3000	Mamtha Raj, MD, MA 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 Ph: (312) 563-3000

Reviews and Comments

Plastic Surgery Doctors in Chicago, IL

Parit A Patel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 N Michigan Ave Ste 1820, Chicago, IL 60611 Phone: 312-819-5338 Fax: 312-819-5337
Akira Yamada, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Division Of Plastic Surgery, Chicago, IL 60611 Phone: 312-227-6258 Fax: 312-227-9408
Lyndsay Ann Kandi, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-702-6302 Fax: 773-702-1634
Dr. Diane L Gerber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Pearson St, #2803, Chicago, IL 60611 Phone: 312-280-8707
Stephanie Bond, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-795-1240
Alexandra Polovneff, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S. Maryland Ave., Plastic Surgery Department, Chicago, IL 60637 Phone: 888-824-0200
Emily Jean Miller, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 Phone: 773-702-6024 Fax: 773-702-1161

Mamtha Raj, MD, MA - Medicare Plastic Surgery in Chicago, IL