Shujauddin Khan, MD is a medicare enrolled "General Practice" physician in Sandston, Virginia. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Patient First Richmond Medical Group Pllc and his current practice location is
35 E Williamsburg Rd, Sandston, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 737-7804.
Shujauddin Khan is licensed to practice in Virginia (license number 0101053528) 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 1114126067.
Physician's Profile
| Full Name | Shujauddin Khan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 36 Years |
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| Location | 35 E Williamsburg Rd, Sandston, Virginia |
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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:
- Shujauddin Khan graduated from medical school in 1988
NPI Data:
- NPI Number: 1114126067
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395770150
- Enrollment ID: I20100806000151
Medical Identifiers
Medical identifiers for Shujauddin Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114126067 | NPI | - | NPPES |
| 454249 | Other | VA | ANTHEM BCBS |
| 005877814 | Medicaid | VA | |
| 705067 | Other | VA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101053528 (Virginia) | Primary |
Medical Facilities Affiliation
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. Shujauddin Khan allows following entities to bill medicare on his behalf.
| Entity Name | Patient First Richmond Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689603748
PECOS PAC ID: 9931011434
Enrollment ID: O20031103000500 |
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| Entity Name | Sandston Primary Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265534382
PECOS PAC ID: 3678508439
Enrollment ID: O20050929000881 |
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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. Shujauddin 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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Shujauddin Khan, MD
35 E Williamsburg Rd,
Sandston, VA 23150-2011
Ph: (804) 737-7804 | Shujauddin Khan, MD
35 E Williamsburg Rd,
Sandston, VA 23150-2011
Ph: (804) 737-7804 |
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