Dr Phillip David Khan, MD is a medicare enrolled "Plastic Surgery" physician in Southport, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Novant Medical Group Inc and his current practice location is
1456 N Howe St Ste 201, Southport, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 754-8808.
Dr Phillip David Khan is licensed to practice in North Carolina (license number 2013-00923) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205035102.
Physician's Profile
| Full Name | Dr Phillip David Khan |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 20 Years |
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| Location | 1456 N Howe St Ste 201, Southport, North Carolina |
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| Accepts Medicare Assignments | Yes. He 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 Phillip David Khan attended and graduated from Brody School Of Medicine At East Carolina University in 2004
NPI Data:
- NPI Number: 1205035102
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 10/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951542034
- Enrollment ID: I20130801000436
Medical Identifiers
Medical identifiers for Dr Phillip David Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205035102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | P6658 (Texas) | Secondary |
| 208600000X | Surgery | LL28527 (South Carolina) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 2013-00923 (North Carolina) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | P6658 (Texas) | Secondary |
| 208200000X | Plastic Surgery | 2013-00923 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Novant Medical Group Inc | 1153234893 | 2023 |
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 Phillip David Khan allows following entities to bill medicare on his behalf.
| Entity Name | Novant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692 |
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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 Phillip David 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 |
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Dr Phillip David Khan, MD
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (910) 754-8808 | Dr Phillip David Khan, MD
1456 N Howe St Ste 201,
Southport, NC 28461-2674
Ph: (910) 754-8808 |
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