Dr Shiza N Khan, is a medicare enrolled "Dentist - Periodontics" provider in Greenbay, Wisconsin. Her current practice location is
2851 University Avenue, Dental Dept, Milo C. Huempfner Va Health Care Center, Greenbay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(904) 316-2672.
Dr Shiza N Khan is licensed to practice in Illinois (license number 019-028827) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215195920.
Healthcare Provider's Profile
Full Name | Dr Shiza N Khan |
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Gender | Female |
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Speciality | Dentist - Periodontics |
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Location | 2851 University Avenue, Greenbay, Wisconsin |
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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: 1215195920
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 11/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 4688976509
- Enrollment ID: I20160111000366
Medical Identifiers
Medical identifiers for Dr Shiza N Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215195920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 08985 (Iowa) | Secondary |
1223P0300X | Dentist - Periodontics | 019-028827 (Illinois) | Primary |
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 Shiza N 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 |
Dr Shiza N Khan, 1680 S Huron Rd,, Unit 12, Greenbay, WI 54311 Ph: (904) 316-2672 | Dr Shiza N Khan, 2851 University Avenue, Dental Dept, Milo C. Huempfner Va Health Care Center, Greenbay, WI 54311 Ph: (904) 316-2672 |
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