Mitchell Alan Khan, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Knoxville, Iowa. His current practice location is
410 E Robinson St, Suite B2, Knoxville, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 842-3700.
Mitchell Alan Khan is licensed to practice in Iowa (license number 3794) 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 1407075021.
Physician's Profile
| Full Name | Mitchell Alan Khan |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 410 E Robinson St, Knoxville, Iowa |
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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: 1407075021
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 08/19/2013
Medicare PECOS Information:
- PECOS PAC ID: 2466552492
- Enrollment ID: I20141226000404
Medical Identifiers
Medical identifiers for Mitchell Alan Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407075021 | NPI | - | NPPES |
| P00404383 | Other | IA | RAILROAD MEDICARE |
| 03501 | Other | IA | WELLMARK/BLUE CROSS/BLUE |
| 1407075021 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 036113101 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 3794 (Iowa) | 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. Mitchell Alan Khan allows following entities to bill medicare on his behalf.
| Entity Name | Osf Healthcare System |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1811016124
PECOS PAC ID: 4284541806
Enrollment ID: O20070504000101 |
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| Entity Name | Obhg Illinois Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700107216
PECOS PAC ID: 7810179702
Enrollment ID: O20110314001065 |
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| Entity Name | Providea Health Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770911208
PECOS PAC ID: 5698904878
Enrollment ID: O20140211000403 |
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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. Mitchell Alan 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 |
|---|
Mitchell Alan Khan, DO
410 E Robinson St, Suite B2,
Knoxville, IA 50138-2058
Ph: (641) 842-3700 | Mitchell Alan Khan, DO
410 E Robinson St, Suite B2,
Knoxville, IA 50138-2058
Ph: (641) 842-3700 |
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