Farouk Khan, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Freeport, Illinois. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Professional Resource Managment Of Wiregrass, Llc and his current practice location is
25 N Harlem Ave, Freeport, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 599-6000.
Farouk Khan is licensed to practice in Alabama (license number 21322) 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 1427021948.
Physician's Profile
| Full Name | Farouk Khan |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 52 Years |
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| Location | 25 N Harlem Ave, Freeport, 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:
- Farouk Khan graduated from medical school in 1972
NPI Data:
- NPI Number: 1427021948
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567598519
- Enrollment ID: I20130424000373
Medical Identifiers
Medical identifiers for Farouk Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427021948 | NPI | - | NPPES |
| 036105684 | Medicaid | IL | |
| 147462 | Medicaid | AL | |
| 197881 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036105684 (Illinois) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 21322 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Professional Resource Managment Of Wiregrass, Llc | 5698714525 | 8 |
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. Farouk Khan allows following entities to bill medicare on his behalf.
| Entity Name | Professional Resource Managment Of Wiregrass, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740358837
PECOS PAC ID: 5698714525
Enrollment ID: O20050428001294 |
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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. Farouk 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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Farouk Khan, MD, PHD
2812 Hartford Hwy Ste 1,
Dothan, AL 36305-4927
Ph: (334) 712-1170 | Farouk Khan, MD, PHD
25 N Harlem Ave,
Freeport, IL 61032-3801
Ph: (815) 599-6000 |
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