Khaleeq Hussain Siddiqui, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Binghamton, New York. His current practice location is
40 Mitchell Ave, Binghamton, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 772-0639.
Khaleeq Hussain Siddiqui is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174803563.
Physician's Profile
Full Name | Khaleeq Hussain Siddiqui |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 40 Mitchell Ave, Binghamton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174803563
- Provider Enumeration Date: 08/17/2011
- Last Update Date: 07/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345577854
- Enrollment ID: I20190806004153
Medical Identifiers
Medical identifiers for Khaleeq Hussain Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174803563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | C161602 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Khaleeq Hussain Siddiqui allows following entities to bill medicare on his behalf.
Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
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Entity Name | Inpatient Specialists Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
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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. Khaleeq Hussain Siddiqui 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 |
Khaleeq Hussain Siddiqui, MD 40 Mitchell Avenue, Binghamton, NY 13903 Ph: (607) 772-0639 | Khaleeq Hussain Siddiqui, MD 40 Mitchell Ave, Binghamton, NY 13903 Ph: (607) 772-0639 |
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