Dr Khalida Assadullah Pathan, MD is a medicare enrolled "Hospitalist" physician in Altadena, California. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is
888 Morada Pl, Altadena, California. You can reach out to her office (for appointments etc.) via phone at
(626) 696-3692.
Dr Khalida Assadullah Pathan is licensed to practice in California (license number A97589) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265627707.
Physician's Profile
| Full Name | Dr Khalida Assadullah Pathan |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 28 Years |
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| Location | 888 Morada Pl, Altadena, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Khalida Assadullah Pathan graduated from medical school in 1996
NPI Data:
- NPI Number: 1265627707
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 10/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062583917
- Enrollment ID: I20080619000566
Medical Identifiers
Medical identifiers for Dr Khalida Assadullah Pathan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265627707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | A97589 (California) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | A97589 (California) | Secondary |
| 208M00000X | Hospitalist | A97589 (California) | Primary |
Medical Facilities Affiliation
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 Khalida Assadullah Pathan allows following entities to bill medicare on her behalf.
| Entity Name | Galen Inpatient Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680 |
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| Entity Name | Southern California Hospitalist Network Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790880458
PECOS PAC ID: 8921990110
Enrollment ID: O20040324001749 |
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| Entity Name | Cedar Springs Hospitalist Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245799279
PECOS PAC ID: 6406199868
Enrollment ID: O20190528002635 |
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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 Khalida Assadullah Pathan 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 Khalida Assadullah Pathan, MD
888 Morada Pl,
Altadena, CA 91001-2425
Ph: (626) 696-3692 | Dr Khalida Assadullah Pathan, MD
888 Morada Pl,
Altadena, CA 91001-2425
Ph: (626) 696-3692 |
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