Renjith Raju Maracheril, is a medicare enrolled "Anesthesiology" physician in Blacksburg, Virginia. His current practice location is
3700 S Main St, Blacksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 953-3528.
Renjith Raju Maracheril is licensed to practice in New York (license number 323203-01) 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 1215499827.
Physician's Profile
| Full Name | Renjith Raju Maracheril |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 3700 S Main St, Blacksburg, Virginia |
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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: 1215499827
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850620873
- Enrollment ID: I20240618003026
Medical Identifiers
Medical identifiers for Renjith Raju Maracheril such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215499827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 323203-01 (New York) | 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. Renjith Raju Maracheril allows following entities to bill medicare on his behalf.
| Entity Name | North Shore - Lij Anesthesiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
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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. Renjith Raju Maracheril 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 |
Renjith Raju Maracheril, 270-5 76th Ave, Queens, NY 11040 Ph: (718) 470-7500 | Renjith Raju Maracheril, 3700 S Main St, Blacksburg, VA 24060-7081 Ph: (540) 953-3528 |
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