Raj Manickam, MD is a medicare enrolled "Pediatrics" physician in Crownsville, Maryland. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Urgent Care Medicine, Llc and his current practice location is
1350 Sweet Pea Path, Crownsville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 987-7375.
Raj Manickam is licensed to practice in Maryland (license number D0018398) 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 1649200965.
Physician's Profile
Full Name | Raj Manickam |
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Gender | Male |
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Speciality | Pediatric Medicine |
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Experience | 54 Years |
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Location | 1350 Sweet Pea Path, Crownsville, Maryland |
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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. |
Medical Education and Training:
- Raj Manickam graduated from medical school in 1970
NPI Data:
- NPI Number: 1649200965
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 6709832215
- Enrollment ID: I20050329000092
Medical Identifiers
Medical identifiers for Raj Manickam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649200965 | NPI | - | NPPES |
960281000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D0018398 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Urgent Care Medicine, Llc | 2163698101 | 4 |
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. Raj Manickam allows following entities to bill medicare on his behalf.
Entity Name | Statcare Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780156455 PECOS PAC ID: 6709893803 Enrollment ID: O20060315000179 |
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Entity Name | Health Provider Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629361274 PECOS PAC ID: 6800064742 Enrollment ID: O20110721000108 |
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Entity Name | Urgent Care Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174804918 PECOS PAC ID: 2163698101 Enrollment ID: O20111222000219 |
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Entity Name | Statcare Group Iii, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902261308 PECOS PAC ID: 7214221472 Enrollment ID: O20160810002076 |
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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. Raj Manickam 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 |
Raj Manickam, MD 1350 Sweet Pea Path, Crownsville, MD 21032-2020 Ph: (410) 987-7375 | Raj Manickam, MD 1350 Sweet Pea Path, Crownsville, MD 21032-2020 Ph: (410) 987-7375 |
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