Mabroor A Khan, DMD in Groton, CT - Medicare Dentist Provider

Mabroor A Khan, DMD is a medicare enrolled "Dentist" provider in Groton, Connecticut. His current practice location is 115 Bridge St, Groton, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 446-8744.

Mabroor A Khan is licensed to practice in Connecticut (license number 13683) 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 1538629498.

Contact Information

	Mabroor A Khan, DMD
	115 Bridge St, Groton, CT 06340-3603
	(860) 446-8744
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mabroor A Khan
Gender	Male
Speciality	Dentist
Location	115 Bridge St, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538629498
Provider Enumeration Date: 03/25/2019
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8426489220
Enrollment ID: I20200512000408

Medical Identifiers

Medical identifiers for Mabroor A Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538629498	NPI	-	NPPES
1037653870001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DS042583 (Pennsylvania)	Secondary
122300000X	Dentist	13683 (Connecticut)	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. Mabroor A Khan allows following entities to bill medicare on his behalf.

Entity Name	Charles Cole Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20040310001269

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. Mabroor A 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
Mabroor A Khan, DMD 115 Bridge St, Groton, CT 06340-3603 Ph: (860) 446-8744	Mabroor A Khan, DMD 115 Bridge St, Groton, CT 06340-3603 Ph: (860) 446-8744

Reviews and Comments

Dentist in Groton, CT

Dr. Itzel Medina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3736
Dr. Matthew Braden Burns Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3094
Dr. Jimmy Nazih Suliman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3738
Dr. J Michael Tiberii, Dentist Medicare: Not Enrolled in Medicare Practice Location: 643 Route 184, Groton, CT 06340 Phone: 860-445-8569
Dr. Samuel Duberowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123
Dr. Thomas Matthew Goebel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 491 Gold Star Hwy Ste 200, Groton, CT 06340 Phone: 860-446-2357 Fax: 860-446-2359
Josh Cribbs, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wayhoo Drive, Nmrtc Groton: Credentials Coordinator, Groton, CT 06349 Phone: 860-694-2377

Mabroor A Khan, DMD - Medicare Dentist in Groton, CT