Dr Sam Khalili, MD in Milwaukee, WI - Medicare Otolaryngology

Dr Sam Khalili, MD is a medicare enrolled "Otolaryngology" physician in Milwaukee, Wisconsin. He went to Memorial Un Of Newfoundland, Faculty Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 385-1922.

Dr Sam Khalili is licensed to practice in Wisconsin (license number 64697) 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 1487055133.

Contact Information

	Dr Sam Khalili, MD
	2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215
	(414) 385-1922
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sam Khalili
Gender	Male
Speciality	Otolaryngology
Experience	15 Years
Location	2801 W Kinnickinnic River Pkwy # 680, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sam Khalili attended and graduated from Memorial Un Of Newfoundland, Faculty Of Medicine in 2009

NPI Data:

NPI Number: 1487055133
Provider Enumeration Date: 09/12/2014
Last Update Date: 11/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9537478516
Enrollment ID: I20221212002503

Medical Identifiers

Medical identifiers for Dr Sam Khalili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487055133	NPI	-	NPPES
100048505	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	036159776 (Illinois)	Secondary
207Y00000X	Otolaryngology	64697 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Community Hospital 1	Arlington heights, IL	Hospital
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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 Sam Khalili allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 Sam Khalili 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 Sam Khalili, MD 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215-3669 Ph: (414) 385-1922	Dr Sam Khalili, MD 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 Ph: (414) 385-1922

Reviews and Comments

Otolaryngology Doctors in Milwaukee, WI

Dr. Cecille G Sulman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226 Phone: 414-266-6467 Fax: 414-266-2693
Dr. Michael Gorelik, Otolaryngology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-2982 Fax: 414-266-6989
Dr. Karl William Doerfer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave Fl 3, Milwaukee, WI 53226 Phone: 414-805-5580 Fax: 414-476-4701
Dr. William F Prudlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9200 West Wisconsin, Froedtert & Med College Clin - West, Milwaukee, WI 53226 Phone: 414-805-3666
Shishir N Sheth, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4841
S. Fredric Horwitz I, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2350 W Villard Ave, # 207, Milwaukee, WI 53209 Phone: 414-527-9800 Fax: 414-527-9803
Dr. Michael Edward Stadler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Otolaryngology, Milwaukee, WI 53226 Phone: 414-805-5580 Fax: 414-805-8324

Dr Sam Khalili, MD - Medicare Otolaryngology in Milwaukee, WI