Dr Atif Raja, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Marion, Illinois. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Southern Illinois Gi Specialists Llc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any 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 | 16 Years |
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| Location | 3333 W Deyoung St, Marion, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Atif Raja graduated from medical school in 2010
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: I20220624001581
Medical Identifiers
Medical identifiers for Dr Atif Raja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Gi Specialists Llc | 1658337456 | 4 |
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: O20220606001320 |
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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 |
|---|
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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