Zia Ullah Khan, DDS is a medicare enrolled "Dentist" provider in Centerville, Indiana. His current practice location is
100 Mattie Harris Rd, Centerville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 855-3435.
Zia Ullah Khan is licensed to practice in Indiana (license number 019029965) 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 1730596891.
Healthcare Provider's Profile
Full Name | Zia Ullah Khan |
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Gender | Male |
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Speciality | Dentist |
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Location | 100 Mattie Harris Rd, Centerville, Indiana |
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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: 1730596891
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 08/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274910054
- Enrollment ID: I20220517001000
Medical Identifiers
Medical identifiers for Zia Ullah Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730596891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019029965 (Indiana) | 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. Zia Ullah Khan allows following entities to bill medicare on his behalf.
Entity Name | Well Care Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427694314 PECOS PAC ID: 9335576131 Enrollment ID: O20200217000539 |
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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. Zia Ullah 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 |
Zia Ullah Khan, DDS 350 N. Clark Street, 6th Floor, Dental Dreams Llc, Chicago, IL 60654 Ph: (312) 274-4530 | Zia Ullah Khan, DDS 100 Mattie Harris Rd, Centerville, IN 47330-1335 Ph: (765) 855-3435 |
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