Dr Kim Chau Raharja, OD is a medicare enrolled "Optometrist" provider in Chamblee, Georgia. She went to Southern College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. 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 | Optometry |
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| Experience | 18 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 Southern College Of Optometry in 2006
NPI Data:
- NPI Number: 1720094527
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163429754
- Enrollment ID: I20061024000236
Medical Identifiers
Medical identifiers for Dr Kim Chau Raharja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720094527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT002319 (Georgia) | 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 Kim Chau Raharja allows following entities to bill medicare on her behalf.
| Provider Name | Atlanta Eye Associates |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255773347
PECOS PAC ID: 4880810944
Enrollment ID: O20140725000389 |
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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 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 |
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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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