Dr Fahad Habib Khan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lombard, Illinois. His current practice location is
998 N Lombard Rd, Lombard, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 474-4414.
Dr Fahad Habib Khan is licensed to practice in Illinois (license number 071009813) 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 1649514266.
Healthcare Provider's Profile
| Full Name | Dr Fahad Habib Khan |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 998 N Lombard Rd, Lombard, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649514266
- Provider Enumeration Date: 11/20/2012
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193147379
- Enrollment ID: I20200616002619
Medical Identifiers
Medical identifiers for Dr Fahad Habib Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649514266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 178008538 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180009783 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071009813 (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. Dr Fahad Habib Khan allows following entities to bill medicare on his behalf.
| Entity Name | Khalil Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407225709
PECOS PAC ID: 4284056466
Enrollment ID: O20200616002420 |
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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 Fahad Habib Khan 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 |
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Dr Fahad Habib Khan, PSYD
998 N Lombard Rd,
Lombard, IL 60148-1264
Ph: (630) 474-4414 | Dr Fahad Habib Khan, PSYD
998 N Lombard Rd,
Lombard, IL 60148
Ph: (630) 474-4414 |
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