Dr Dilara Khandaker, MD is a medicare enrolled "Family Medicine" physician in Valatie, New York. Her current practice location is
346 Mccagg Rd, Valatie, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 669-2621.
Dr Dilara Khandaker is licensed to practice in New York (license number 192931) 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 1770686248.
Physician's Profile
| Full Name | Dr Dilara Khandaker |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 346 Mccagg Rd, Valatie, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770686248
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214096122
- Enrollment ID: I20081106000880
Medical Identifiers
Medical identifiers for Dr Dilara Khandaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770686248 | NPI | - | NPPES |
| 036144914 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 036144914 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 192931 (New York) | 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. Dr Dilara Khandaker allows following entities to bill medicare on her behalf.
| Entity Name | St Peters Hospital Of The City Of Albany |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301 |
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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. Dr Dilara Khandaker 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 Dilara Khandaker, MD
346 Mccagg Rd,
Valatie, NY 12184-5808
Ph: (518) 669-2621 | Dr Dilara Khandaker, MD
346 Mccagg Rd,
Valatie, NY 12184-5808
Ph: (518) 669-2621 |
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