Dr Kim Chau Raharja, OD is a medicare enrolled "Optometrist" provider in Chamblee, Georgia. Her current practice location is
1841 Chamblee Tucker Rd Ste 1-4b, Chamblee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 409-8977.
Dr Kim Chau Raharja is licensed to practice in Georgia (license number OPT002319) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1720094527.
Healthcare Provider's Profile
| Full Name | Dr Kim Chau Raharja |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1841 Chamblee Tucker Rd Ste 1-4b, Chamblee, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kim Chau Raharja attended and graduated from in
NPI Data:
- NPI Number: 1720094527
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kim Chau Raharja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720094527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT002319 (Georgia) | Primary |
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 Kim Chau Raharja 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 Kim Chau Raharja, OD
1841 Chamblee Tucker Rd Ste 1-4b,
Chamblee, GA 30341-2784
Ph: (770) 409-8977 | Dr Kim Chau Raharja, OD
1841 Chamblee Tucker Rd Ste 1-4b,
Chamblee, GA 30341-2784
Ph: (770) 409-8977 |
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