Dr Khaled Faisal Abdul Rahman, MD is a medicare enrolled "Pediatrics" physician in Princess Anne, Maryland. His current practice location is
12145 Elm St, Princess Anne, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 651-5135.
Dr Khaled Faisal Abdul Rahman is licensed to practice in Maryland (license number D0091360) 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 1942799465.
Physician's Profile
Full Name | Dr Khaled Faisal Abdul Rahman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 12145 Elm St, Princess Anne, Maryland |
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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: 1942799465
- Provider Enumeration Date: 05/10/2018
- Last Update Date: 06/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466702295
- Enrollment ID: I20210803003476
Medical Identifiers
Medical identifiers for Dr Khaled Faisal Abdul Rahman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942799465 | NPI | - | NPPES |
119591300 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D0091360 (Maryland) | 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 Khaled Faisal Abdul Rahman allows following entities to bill medicare on his behalf.
Entity Name | Three Lower Counties Community Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093 |
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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 Khaled Faisal Abdul Rahman 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 Khaled Faisal Abdul Rahman, MD Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Dr Khaled Faisal Abdul Rahman, MD 12145 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-5135 |
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