Dr Mohammad Farrukh Khan, MD is a medicare enrolled "Surgery" physician in Fort Polk, Louisiana. His current practice location is
1585 3rd St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 653-2373.
Dr Mohammad Farrukh Khan is licensed to practice in Pennsylvania (license number MD029897) 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 1730179276.
Physician's Profile
Full Name | Dr Mohammad Farrukh Khan |
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Gender | Male |
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Speciality | Surgery |
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Location | 1585 3rd St, Fort Polk, Louisiana |
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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: 1730179276
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305894825
- Enrollment ID: I20050111000435
Medical Identifiers
Medical identifiers for Dr Mohammad Farrukh Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730179276 | NPI | - | NPPES |
30021732 | Other | PA | KEYSTONE MERCY |
1011920410001 | Medicaid | PA | |
7542074 | Other | PA | AETNA HMO |
01884714 | Other | PA | BLUE SHIELD |
2357937000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
1064610 | Other | PA | AETNA PPO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD029897 (Pennsylvania) | 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 Mohammad Farrukh Khan allows following entities to bill medicare on his behalf.
Entity Name | Ameriwound Physicians Nj Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962807156 PECOS PAC ID: 0547541500 Enrollment ID: O20170105000966 |
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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 Mohammad Farrukh 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 |
Dr Mohammad Farrukh Khan, MD 1600 Perrineville Rd Ste 2-303, Monroe Township, NJ 08831-4923 Ph: (216) 273-9800 | Dr Mohammad Farrukh Khan, MD 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 653-2373 |
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