Mirza Ali U Khan, DO in Belvidere, IL - Medicare Family Practice

Mirza Ali U Khan, DO is a medicare enrolled "Family Medicine" physician in Belvidere, Illinois. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 1954 Gateway Center Dr, Belvidere, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 544-7400.

Mirza Ali U Khan is licensed to practice in Illinois (license number 036.152072) 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 1538697248.

Contact Information

	Mirza Ali U Khan, DO
	1954 Gateway Center Dr, Belvidere, IL 61008-9303
	(815) 544-7400
	Not Available

Map and Direction

Physician's Profile

Full Name	Mirza Ali U Khan
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	1954 Gateway Center Dr, Belvidere, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mirza Ali U Khan attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2016

NPI Data:

NPI Number: 1538697248
Provider Enumeration Date: 05/24/2017
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 3375811334
Enrollment ID: I20200910002194

Medical Identifiers

Medical identifiers for Mirza Ali U Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538697248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036.152072 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Anthony Medical Center For Home Care	Rockford, IL	Home health agency
Osf Saint Anthony Medical Center	Rockford, IL	Hospital
Swedish American Hospital	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552

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. Mirza Ali U Khan allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Mirza Ali U 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
Mirza Ali U Khan, DO 1423 Ashwood Dr, Elgin, IL 60123-8885 Ph: (847) 528-3366	Mirza Ali U Khan, DO 1954 Gateway Center Dr, Belvidere, IL 61008-9303 Ph: (815) 544-7400

Reviews and Comments

Family Medicine Doctors in Belvidere, IL

Stephanie Ann Gorham Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650
Dr. Clayton R. Malaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 Fax: 815-544-3700
Karen Joyce Englund, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-3780 Fax: 815-547-3781
Neal Kellenberger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 Fax: 815-544-4691
Shin Chen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 Logan Ave, Belvidere, IL 61008 Phone: 815-547-1110 Fax: 815-544-1594
Dr. David G Pocock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2170 Pearl St, Belvidere, IL 61008 Phone: 815-547-5461
Mary Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650

Mirza Ali U Khan, DO - Medicare Family Practice in Belvidere, IL