Ambar Fawad Khan, MD, MBBS in Stratford, CT

Ambar Fawad Khan, MD, MBBS is a medicare enrolled "Family Medicine" physician in Stratford, Connecticut. Her current practice location is 2900 Main St Ste 3c, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 378-3080.

Ambar Fawad Khan is licensed to practice in Connecticut (license number 78728) 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 1174110068.

Contact Information

	Ambar Fawad Khan, MD, MBBS
	2900 Main St Ste 3c, Stratford, CT 06614-4946
	(203) 378-3080
	Not Available

Map and Direction

Physician's Profile

Full Name	Ambar Fawad Khan
Gender	Female
Speciality	Family Medicine
Location	2900 Main St Ste 3c, Stratford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174110068
Provider Enumeration Date: 12/24/2020
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2365989969
Enrollment ID: I20240731003642

Medical Identifiers

Medical identifiers for Ambar Fawad Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174110068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	78728 (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. Ambar Fawad Khan allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Ambar Fawad 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
Ambar Fawad Khan, MD, MBBS 2900 Main St Ste 3c, Stratford, CT 06614-4946 Ph: (203) 378-3080	Ambar Fawad Khan, MD, MBBS 2900 Main St Ste 3c, Stratford, CT 06614-4946 Ph: (203) 378-3080

Reviews and Comments

Family Medicine Doctors in Stratford, CT

Dr. Mary Griffin Kellogg, MD, IBCLC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2505 Main St, Suite 223, Stratford, CT 06615 Phone: 203-375-5812
Dr. Lee Jon Forest, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2184 Main St, Stratford, CT 06615 Phone: 203-378-9002 Fax: 203-375-0336
Dr. Randolph Ramirez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2103 Main Street, Stratford, CT 06115 Phone: 203-377-3666 Fax: 203-377-6500
Dr. Amber Gomes, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 2900 Main St Ste 3c, Stratford, CT 06614 Phone: 203-278-2380
Michele Brogunier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 99 Hawley Ln, Stratford, CT 06614 Phone: 608-229-1580 Fax: 608-229-1580
Cynthia Ann Tucker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2900 Main St Ste 3c, Stratford, CT 06614 Phone: 203-378-3080 Fax: 203-377-3897

Ambar Fawad Khan, MD, MBBS - Medicare Family Medicine in Stratford, CT