Siddharth Khasnavis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is
20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 688-4242.
Siddharth Khasnavis is licensed to practice in * (Not Available) (license number ) 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 1144617333.
Physician's Profile
Full Name | Siddharth Khasnavis |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 20 York St, New Haven, Connecticut |
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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: 1144617333
- Provider Enumeration Date: 04/25/2015
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264788496
- Enrollment ID: I20210915000302
Medical Identifiers
Medical identifiers for Siddharth Khasnavis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144617333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 064017 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Siddharth Khasnavis allows following entities to bill medicare on his behalf.
Entity Name | The Charlotte Hungerford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
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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. Siddharth Khasnavis 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 |
Siddharth Khasnavis, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Siddharth Khasnavis, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
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