Raj Manickam, MD - Medicare Pediatric Medicine in Crownsville, MD

Raj Manickam, MD is a medicare enrolled "Pediatrics" physician in Crownsville, Maryland. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Urgent Care Medicine, Llc and his current practice location is 1350 Sweet Pea Path, Crownsville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 987-7375.

Raj Manickam is licensed to practice in Maryland (license number D0018398) 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 1649200965.

Contact Information

Raj Manickam, MD
1350 Sweet Pea Path,
Crownsville, MD 21032-2020
(410) 987-7375
Not Available



Physician's Profile

Full NameRaj Manickam
GenderMale
SpecialityPediatric Medicine
Experience54 Years
Location1350 Sweet Pea Path, Crownsville, Maryland
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:
  • Raj Manickam graduated from medical school in 1970
  NPI Data:
  • NPI Number: 1649200965
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 03/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6709832215
  • Enrollment ID: I20050329000092

Medical Identifiers

Medical identifiers for Raj Manickam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649200965NPI-NPPES
960281000MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0018398 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgent Care Medicine, Llc21636981014

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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. Raj Manickam allows following entities to bill medicare on his behalf.
Entity NameStatcare Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780156455
PECOS PAC ID: 6709893803
Enrollment ID: O20060315000179

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Entity NameHealth Provider Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629361274
PECOS PAC ID: 6800064742
Enrollment ID: O20110721000108

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Entity NameUrgent Care Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174804918
PECOS PAC ID: 2163698101
Enrollment ID: O20111222000219

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Entity NameStatcare Group Iii, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902261308
PECOS PAC ID: 7214221472
Enrollment ID: O20160810002076

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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. Raj Manickam 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
Raj Manickam, MD
1350 Sweet Pea Path,
Crownsville, MD 21032-2020

Ph: (410) 987-7375
Raj Manickam, MD
1350 Sweet Pea Path,
Crownsville, MD 21032-2020

Ph: (410) 987-7375

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Pediatrics Doctors in Crownsville, MD


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