Shadi Rady Khillah, DDS - Medicare Dentist in Galesburg, MI

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Shadi Rady Khillah, DDS is a medicare enrolled "Dentist" provider in Galesburg, Michigan. His current practice location is 357 E Michigan Ave, Galesburg, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 665-9997.

Shadi Rady Khillah is licensed to practice in Michigan (license number 2901021326) 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 1124433396.

Contact Information

Shadi Rady Khillah, DDS
357 E Michigan Ave,
Galesburg, MI 49053-9763
(269) 665-9997
(269) 665-5088

Map and Direction




Healthcare Provider's Profile

Full NameShadi Rady Khillah
GenderMale
SpecialityDentist
Location357 E Michigan Ave, Galesburg, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124433396
  • Provider Enumeration Date: 06/26/2014
  • Last Update Date: 04/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6709164486
  • Enrollment ID: I20161101000280

Medical Identifiers

Medical identifiers for Shadi Rady Khillah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124433396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2901021326 (Michigan)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. Shadi Rady Khillah 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
Shadi Rady Khillah, DDS
357 E Michigan Ave,
Galesburg, MI 49053-9763

Ph: (269) 665-9997		Shadi Rady Khillah, DDS
357 E Michigan Ave,
Galesburg, MI 49053-9763

Ph: (269) 665-9997

Reviews and Comments


Dentist in Galesburg, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.