Pavithra Raja, PT & PA-C is a medicare enrolled "Physician Assistant" provider in Novi, Michigan. Her current practice location is
39465 W 14 Mile Rd, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 859-3900.
Pavithra Raja is licensed to practice in Michigan (license number 5601011408) 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 1790013878.
Healthcare Provider's Profile
Full Name | Pavithra Raja |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 39465 W 14 Mile Rd, Novi, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790013878
- Provider Enumeration Date: 11/30/2009
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638541766
- Enrollment ID: I20230217001228
Medical Identifiers
Medical identifiers for Pavithra Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790013878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5501014933 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601011408 (Michigan) | 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. Pavithra Raja 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 |
Pavithra Raja, PT & PA-C 22134 Haynes Ave, Farmington Hills, MI 48336-4333 Ph: () - | Pavithra Raja, PT & PA-C 39465 W 14 Mile Rd, Novi, MI 48377-1600 Ph: (248) 859-3900 |
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