Dr Praveen B Raju, MD PHD in San Diego, CA - Medicare Psychiatry & Neurology

Dr Praveen B Raju, MD PHD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in San Diego, California. His current practice location is 3030 Childrens Way, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 966-5819.

Dr Praveen B Raju is licensed to practice in California (license number C194532) 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 1477710069.

Contact Information

	Dr Praveen B Raju, MD PHD
	3030 Childrens Way, San Diego, CA 92123-4232
	(858) 966-5819
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Praveen B Raju
Gender	Male
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	3030 Childrens Way, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477710069
Provider Enumeration Date: 05/21/2008
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 4688734015
Enrollment ID: I20081114000759

Medical Identifiers

Medical identifiers for Dr Praveen B Raju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477710069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	240999 (New York)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	C194532 (California)	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. Dr Praveen B Raju allows following entities to bill medicare on his behalf.

Entity Name	Weill Medical College Of Cornell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661

Entity Name	Memorial Pediatric Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750352381 PECOS PAC ID: 1557250958 Enrollment ID: O20040313000033

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 Praveen B Raju 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 Praveen B Raju, MD PHD 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300	Dr Praveen B Raju, MD PHD 3030 Childrens Way, San Diego, CA 92123-4232 Ph: (858) 966-5819

Reviews and Comments

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Dr. Shannon V Chavez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-497-6665
Dr. Gregory F Bishop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 760-724-8411

Dr Praveen B Raju, MD PHD - Medicare Psychiatry & Neurology in San Diego, CA