Ghulam Khan, MD - Medicare Family Practice in Pine Bluff, AR

Ghulam Khan, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Nuvance Health Medical Practice Ct Inc and his current practice location is 4010 S Mulberry St, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-6000.

Ghulam Khan is licensed to practice in Arkansas (license number E-10502) 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 1588042220.

Contact Information

Ghulam Khan, MD
4010 S Mulberry St,
Pine Bluff, AR 71603
(870) 541-6000
Not Available

Map and Direction




Physician's Profile

Full NameGhulam Khan
GenderMale
SpecialityFamily Practice
Experience17 Years
Location4010 S Mulberry St, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ghulam Khan graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1588042220
  • Provider Enumeration Date: 05/14/2015
  • Last Update Date: 10/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648557686
  • Enrollment ID: I20190911002444

Medical Identifiers

Medical identifiers for Ghulam Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588042220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64115 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine E-10502 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Constellation HospiceOrange, CTHospice
Danbury HospitalDanbury, CTHospital
Griffin HospitalDerby, CTHospital
Lutheran Home Of Southbury IncSouthbury, CTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice Ct Inc4789597691642

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. Ghulam Khan allows following entities to bill medicare on his behalf.
Entity NameNuvance Health Medical Practice Ct Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130

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. Ghulam 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 AddressPractice Location Address
Ghulam Khan, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000

Ph: (870) 541-6010
Ghulam Khan, MD
4010 S Mulberry St,
Pine Bluff, AR 71603

Ph: (870) 541-6000

Reviews and Comments


Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603
Phone: 870-619-4516    
Simmie Armstrong Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603
Phone: 870-535-6461    Fax: 870-535-0594
Dr. Sree Chellappan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010
Manuel R Kelley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601
Phone: 870-543-2380    Fax: 870-535-4716
Pavana Naga Gopi Krishna Tirumanisetti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6009
Dr. Toni L Middleton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-7622
Dr. Tracey Albertha Lockhart Wright, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-540-6000    Fax: 870-541-6010

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.