Mohammed Mudasser Khan, MD in Belvidere, IL

Mohammed Mudasser Khan, MD is a medicare enrolled "Family Medicine" physician in Belvidere, Illinois. He graduated from medical school in 2005 and has 19 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 (516) 784-6077.

Mohammed Mudasser Khan is licensed to practice in Illinois (license number 036130956) 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 1679703797.

Contact Information

	Mohammed Mudasser Khan, MD
	1954 Gateway Center Dr, Belvidere, IL 61008-9303
	(516) 784-6077
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohammed Mudasser Khan
Gender	Male
Speciality	Family Practice
Experience	19 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:

Mohammed Mudasser Khan graduated from medical school in 2005

NPI Data:

NPI Number: 1679703797
Provider Enumeration Date: 07/23/2009
Last Update Date: 02/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4789835331
Enrollment ID: I20121108000332

Medical Identifiers

Medical identifiers for Mohammed Mudasser Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679703797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036130956 (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. Mohammed Mudasser 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. Mohammed Mudasser 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
Mohammed Mudasser Khan, MD 9792 Schaffner Dr, Huntley, IL 60142-0079 Ph: (516) 784-6077	Mohammed Mudasser Khan, MD 1954 Gateway Center Dr, Belvidere, IL 61008-9303 Ph: (516) 784-6077

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

Mohammed Mudasser Khan, MD - Medicare Family Practice in Belvidere, IL