Chickajajur Vijay, MD is a medicare enrolled "Pediatrics" physician in Glen Dale, West Virginia. His current practice location is
800 Wheeling Ave, Glen Dale, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 845-3211.
Chickajajur Vijay is licensed to practice in West Virginia (license number 24868) 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 1821325994.
Physician's Profile
| Full Name | Chickajajur Vijay |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 800 Wheeling Ave, Glen Dale, 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: 1821325994
- Provider Enumeration Date: 11/11/2009
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406007533
- Enrollment ID: I20121119000121
Medical Identifiers
Medical identifiers for Chickajajur Vijay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821325994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 24868 (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 24868 (West Virginia) | 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. Chickajajur Vijay allows following entities to bill medicare on his behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207 |
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| Entity Name | City Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942503164
PECOS PAC ID: 3375444524
Enrollment ID: O20040120000306 |
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| Entity Name | Reynolds Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896 |
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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. Chickajajur Vijay 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 |
|---|
Chickajajur Vijay, MD
977 48th St,
Brooklyn, NY 11219-2919
Ph: (718) 283-8090 | Chickajajur Vijay, MD
800 Wheeling Ave,
Glen Dale, WV 26038-1697
Ph: (304) 845-3211 |
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