Meda Raghavendra, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Maywood, Illinois. His current practice location is
2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 216-6462.
Meda Raghavendra is licensed to practice in Illinois (license number 36092881) 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 1629048962.
Physician's Profile
Full Name | Meda Raghavendra |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 2160 S First Ave, Maywood, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629048962
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 03/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 6305873175
- Enrollment ID: I20050722000818
Medical Identifiers
Medical identifiers for Meda Raghavendra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629048962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 36092881 (Illinois) | 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. Meda Raghavendra allows following entities to bill medicare on his behalf.
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
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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. Meda Raghavendra 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 |
Meda Raghavendra, MD 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Ph: (708) 216-6462 | Meda Raghavendra, MD 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Ph: (708) 216-6462 |
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