Noor Khalil, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Dearborn, Michigan. Her current practice location is
5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 425-4500.
Noor Khalil is licensed to practice in Michigan (license number 4704349552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669100541.
Physician's Profile
Full Name | Noor Khalil |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5500 Auto Club Dr, Dearborn, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669100541
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971958547
- Enrollment ID: I20231017002860
Medical Identifiers
Medical identifiers for Noor Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669100541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4704349552 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704349552 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704349552 (Michigan) | 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. Noor Khalil allows following entities to bill medicare on her behalf.
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
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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. Noor Khalil 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 |
Noor Khalil, FNP-C 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 425-4500 | Noor Khalil, FNP-C 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 425-4500 |
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