Dr Salim G Khazoum, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Champaign, Illinois. He graduated from medical school in 1982 and has 43 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Christie Clinic, Llc and his current practice location is
101 W University Ave, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 337-2310.
Dr Salim G Khazoum is licensed to practice in Illinois (license number 036081989) 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 1053326579.
Physician's Profile
| Full Name | Dr Salim G Khazoum |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 43 Years |
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| Location | 101 W University Ave, Champaign, Illinois |
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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 Salim G Khazoum graduated from medical school in 1982
NPI Data:
- NPI Number: 1053326579
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537132394
- Enrollment ID: I20040818001318
Medical Identifiers
Medical identifiers for Dr Salim G Khazoum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053326579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036081989 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Christie Clinic, Llc | 7719899319 | 202 |
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 Salim G Khazoum allows following entities to bill medicare on his behalf.
| Entity Name | Christie Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871523829
PECOS PAC ID: 7719899319
Enrollment ID: O20031103000332 |
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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 Salim G Khazoum 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 Salim G Khazoum, MD
101 W University Ave,
Champaign, IL 61820-3909
Ph: (217) 337-2310 | Dr Salim G Khazoum, MD
101 W University Ave,
Champaign, IL 61820-3909
Ph: (217) 337-2310 |
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