James Lionel Raj, MD - Medicare Otolaryngology in Norton, VA

James Lionel Raj, MD is a medicare enrolled "Otolaryngology" physician in Norton, Virginia. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wellmont Medical Associates Inc and his current practice location is 295 Wharton Ln Ne, Norton, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 679-0321.

James Lionel Raj is licensed to practice in Virginia (license number 0101245034) 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 1063496941.

Contact Information

James Lionel Raj, MD
295 Wharton Ln Ne,
Norton, VA 24273-1541
(276) 679-0321
(276) 679-6498

Map and Direction




Physician's Profile

Full NameJames Lionel Raj
GenderMale
SpecialityOtolaryngology
Experience53 Years
Location295 Wharton Ln Ne, Norton, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Lionel Raj graduated from medical school in 1971
  NPI Data:
  • NPI Number: 1063496941
  • Provider Enumeration Date: 12/03/2005
  • Last Update Date: 07/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2769460021
  • Enrollment ID: I20090424000379

Medical Identifiers

Medical identifiers for James Lionel Raj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063496941NPI-NPPES
4581136OtherOHAETNA
0508329MedicaidOH
1000118OtherOHUNITED HEALTH CARE
000000119340OtherOHANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 35.048273 (Ohio)Secondary
207Y00000XOtolaryngology 0101245034 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lonesome Pine HospitalBig stone gap, VAHospital
Dickenson Community HospitalClintwood, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellmont Medical Associates Inc8123291739405

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. James Lionel Raj allows following entities to bill medicare on his behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467

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. James Lionel Raj 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 AddressPractice Location Address
James Lionel Raj, MD
999 Executive Park Blvd, Suite 201,
Kingsport, TN 37660-4632

Ph: (423) 224-3250
James Lionel Raj, MD
295 Wharton Ln Ne,
Norton, VA 24273-1541

Ph: (276) 679-0321

Reviews and Comments


Otolaryngology Doctors in Norton, VA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.