Nisar Khan, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Psychiatry" physician in Bloomsburg, Pennsylvania. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Geisinger Clinic and his current practice location is
549 Fair St, Bloomsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 387-2055.
Nisar Khan is licensed to practice in Pennsylvania (license number MD475877) 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 1437647468.
Physician's Profile
| Full Name | Nisar Khan |
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| Gender | Male |
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| Speciality | Addiction Medicine |
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| Experience | 12 Years |
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| Location | 549 Fair St, Bloomsburg, Pennsylvania |
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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:
- Nisar Khan graduated from medical school in 2012
NPI Data:
- NPI Number: 1437647468
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597147306
- Enrollment ID: I20220726002791
Medical Identifiers
Medical identifiers for Nisar Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437647468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0300X | Preventive Medicine - Addiction Medicine | MD475877 (Pennsylvania) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD475877 (Pennsylvania) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | MD475877 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | MD475877 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Geisinger Clinic | 5395657001 | 2841 |
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. Nisar Khan allows following entities to bill medicare on his behalf.
| Entity Name | Geisinger Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518 |
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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. Nisar 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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Nisar Khan, MD
100 N Academy Ave,
Danville, PA 17822-4903
Ph: (570) 271-6144 | Nisar Khan, MD
549 Fair St,
Bloomsburg, PA 17815-1419
Ph: (570) 387-2055 |
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