Dr Mansoor A Raja, MD is a medicare enrolled "Emergency Medicine" physician in Webster Springs, West Virginia. His current practice location is
125 Diana Dr, Webster Springs, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 847-5682.
Dr Mansoor A Raja is licensed to practice in West Virginia (license number 25959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932369709.
Physician's Profile
| Full Name | Dr Mansoor A Raja |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 125 Diana Dr, Webster Springs, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932369709
- Provider Enumeration Date: 06/14/2008
- Last Update Date: 04/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618149162
- Enrollment ID: I20141107000875
Medical Identifiers
Medical identifiers for Dr Mansoor A Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932369709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD444076 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 25959 (West Virginia) | Primary |
| 207P00000X | Emergency Medicine | 4301093067 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 35.123474 (Ohio) | Secondary |
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 Mansoor A Raja allows following entities to bill medicare on his behalf.
| Entity Name | Valley Health Systems, Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1902962368
PECOS PAC ID: 9931017969
Enrollment ID: O20040325000411 |
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| Entity Name | Allied West Virginia Emergency Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487109104
PECOS PAC ID: 8325326648
Enrollment ID: O20161020001514 |
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| Entity Name | Racine Observation Medical Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588196851
PECOS PAC ID: 1254601578
Enrollment ID: O20170719003225 |
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| Entity Name | Webster Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679241152
PECOS PAC ID: 6709275373
Enrollment ID: O20211227001169 |
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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 Mansoor A 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 |
|---|
Dr Mansoor A Raja, MD
125 Diana Dr,
Webster Springs, WV 26288-9078
Ph: (304) 847-5682 | Dr Mansoor A Raja, MD
125 Diana Dr,
Webster Springs, WV 26288-9078
Ph: (304) 847-5682 |
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