Dr Rajamanickam Purushothaman, MD in Springfield, MO - Medicare Internal Medicine

Dr Rajamanickam Purushothaman, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Springfield, Missouri. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1965 S Fremont Ave, Suite 300, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-3760.

Dr Rajamanickam Purushothaman is licensed to practice in Missouri (license number 105696) 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 1558403519.

Contact Information

	Dr Rajamanickam Purushothaman, MD
	1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201
	(417) 820-3760
	(417) 820-3770

Physician's Profile

Full Name	Dr Rajamanickam Purushothaman
Gender	Male
Speciality	Internal Medicine
Experience	56 Years
Location	1965 S Fremont Ave, Springfield, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Rajamanickam Purushothaman graduated from medical school in 1968

NPI Data:

NPI Number: 1558403519
Provider Enumeration Date: 02/13/2007
Last Update Date: 07/22/2008

Medicare PECOS Information:

PECOS PAC ID: 1254243447
Enrollment ID: I20031105000393

Medical Identifiers

Medical identifiers for Dr Rajamanickam Purushothaman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558403519	NPI	-	NPPES
82272	Other	MO	AR BLUE SHIELD #
203973813	Medicaid	MO
148760001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	105696 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	922

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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 Rajamanickam Purushothaman allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

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Newcardio raises funds through private placement

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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 Rajamanickam Purushothaman 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 Rajamanickam Purushothaman, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Dr Rajamanickam Purushothaman, MD 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 Ph: (417) 820-3760

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Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711
Dr. Sridevi Durga, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295
Bradley D Wiley, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051
Walter S. Trombold, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778
Dr. Timi A Akins, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4814 S Montrose Pl, Springfield, MO 65810 Phone: 202-779-1247
Ghulam Jeelani Siddiqui, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220
Danny R Penick, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000

Dr Rajamanickam Purushothaman, MD - Medicare Internal Medicine in Springfield, MO

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

Azti-Tecnalia optimizes industrial production of oat beta-glucan-based white bread

Steroid therapy impedes Duchenne's cardiomyopathy

Newcardio raises funds through private placement

Women more likely to have gray matter atrophy prior to Alzheimer's diagnosis than men

Medicare Reassignments

Azti-Tecnalia optimizes industrial production of oat beta-glucan-based white bread

Steroid therapy impedes Duchenne's cardiomyopathy

Newcardio raises funds through private placement

Women more likely to have gray matter atrophy prior to Alzheimer's diagnosis than men

Azti-Tecnalia optimizes industrial production of oat beta-glucan-based white bread

Steroid therapy impedes Duchenne's cardiomyopathy

Newcardio raises funds through private placement

Women more likely to have gray matter atrophy prior to Alzheimer's diagnosis than men

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Azti-Tecnalia optimizes industrial production of oat beta-glucan-based white bread

Steroid therapy impedes Duchenne's cardiomyopathy

Newcardio raises funds through private placement

Women more likely to have gray matter atrophy prior to Alzheimer's diagnosis than men

Internal Medicine Doctors in Springfield, MO