Dr Radhika Jayaraj Manikumar, MD is a medicare enrolled "Pediatrics" physician in Clarksburg, Maryland. Her current practice location is
23218 Brewers Tavern Way, Clarksburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 528-8181.
Dr Radhika Jayaraj Manikumar is licensed to practice in Maryland (license number D0061929) 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 1972628436.
Physician's Profile
Full Name | Dr Radhika Jayaraj Manikumar |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 23218 Brewers Tavern Way, Clarksburg, Maryland |
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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: 1972628436
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 8224294848
- Enrollment ID: I20201211001778
Medical Identifiers
Medical identifiers for Dr Radhika Jayaraj Manikumar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972628436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D0061929 (Maryland) | 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 Radhika Jayaraj Manikumar 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 Radhika Jayaraj Manikumar, MD 23218 Brewers Tavern Way, Clarksburg, MD 20871 Ph: (301) 528-8181 | Dr Radhika Jayaraj Manikumar, MD 23218 Brewers Tavern Way, Clarksburg, MD 20871-4391 Ph: (301) 528-8181 |
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