Khyber Khan, MD is a medicare enrolled "Family Medicine" physician in Glenville, New York. 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 Ellis Hospital and his current practice location is
115 Saratoga Rd, Glenville, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 243-3360.
Khyber Khan is licensed to practice in New York (license number 268119) 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 1902113699.
Physician's Profile
| Full Name | Khyber Khan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 115 Saratoga Rd, Glenville, New York |
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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:
- Khyber Khan graduated from medical school in 2007
NPI Data:
- NPI Number: 1902113699
- Provider Enumeration Date: 09/02/2010
- Last Update Date: 01/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012153968
- Enrollment ID: I20130418000563
Medical Identifiers
Medical identifiers for Khyber Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902113699 | NPI | - | NPPES |
| 03536981 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 268119 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ellis Hospital | 5890607410 | 194 |
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. Khyber Khan allows following entities to bill medicare on his behalf.
| Entity Name | Ellis Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406 |
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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. Khyber 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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Khyber Khan, MD
115 Saratoga Rd,
Glenville, NY 12302-4211
Ph: (518) 243-3360 | Khyber Khan, MD
115 Saratoga Rd,
Glenville, NY 12302-4211
Ph: (518) 243-3360 |
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