Khushali Chan, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in League City, Texas. Her current practice location is
2801 Veneto Ct, League City, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 724-4283.
Khushali Chan is licensed to practice in Texas (license number F0315221) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386030070.
Physician's Profile
| Full Name | Khushali Chan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2801 Veneto Ct, League City, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386030070
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 04/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193037455
- Enrollment ID: I20150630001418
Medical Identifiers
Medical identifiers for Khushali Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386030070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | F0315221 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F0315221 (Texas) | 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. Khushali Chan allows following entities to bill medicare on her behalf.
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548208564
PECOS PAC ID: 7315850351
Enrollment ID: O20031106000563 |
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| Entity Name | Premier Physical Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760722722
PECOS PAC ID: 8123241833
Enrollment ID: O20140528000782 |
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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. Khushali Chan 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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Khushali Chan, FNP
Po Box 840853,
Dallas, TX 75284-0853
Ph: (972) 715-5000 | Khushali Chan, FNP
2801 Veneto Ct,
League City, TX 77573-5006
Ph: (832) 724-4283 |
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