Dr Atif Raja, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Marion, Illinois. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Pathology. His current practice location is
3333 W Deyoung St, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at
(210) 617-4445.
Dr Atif Raja is licensed to practice in Illinois (license number 036.158966) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477083806.
Physician's Profile
| Full Name | Dr Atif Raja |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 14 Years |
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| Location | 3333 W Deyoung St, Marion, Illinois |
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| Accepts Medicare Assignments | May be. He 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 Atif Raja graduated from medical school in 2011
NPI Data:
- NPI Number: 1477083806
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284013061
- Enrollment ID: I20231204002726
Medical Identifiers
Medical identifiers for Dr Atif Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477083806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.158966 (Illinois) | Primary |
Medical Facilities Affiliation
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 Atif Raja allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655 |
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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 Atif 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 |
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Dr Atif Raja,
6918 Camp Bullis Rd,
San Antonio, TX 78256-2236
Ph: (102) 617-4445 | Dr Atif Raja,
3333 W Deyoung St,
Marion, IL 62959-5884
Ph: (210) 617-4445 |
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