Dr Mohammed Ali Khan, MD | |
3212 Court St, Pekin, IL 61554-6209 | |
(309) 306-1234 | |
(309) 213-9661 |
Full Name | Dr Mohammed Ali Khan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3212 Court St, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396953485 | NPI | - | NPPES |
09015685 | Other | IL | BCBS OF IL |
036123108 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036123108 (Illinois) | Primary |
Entity Name | Freeport Regional Health Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammed Ali Khan, MD 3212 Court St, Pekin, IL 61554-6209 Ph: (309) 306-1234 | Dr Mohammed Ali Khan, MD 3212 Court St, Pekin, IL 61554-6209 Ph: (309) 306-1234 |
Ann Parkin-cohen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3422 Court St, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-495-6698 | |
Dr. Ashley Fischer, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 3223 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 | |
Reginald Bowman, Pediatrics Medicare: Medicare Enrolled Practice Location: 600 S 13th St, Ste A, Pekin, IL 61554 Phone: 309-347-2191 Fax: 309-347-4821 |