Tamanna Khanam, MD is a medicare enrolled "General Practice" physician in Poughkeepsie, New York. Her current practice location is
140 Main St., Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 454-7600.
Tamanna Khanam is licensed to practice in New York (license number P122558) 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 1760169833.
Physician's Profile
Full Name | Tamanna Khanam |
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Gender | Female |
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Speciality | General Practice |
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Location | 140 Main St., Poughkeepsie, New York |
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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: 1760169833
- Provider Enumeration Date: 06/30/2023
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375998008
- Enrollment ID: I20231016001440
Medical Identifiers
Medical identifiers for Tamanna Khanam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760169833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | P122558 (New York) | 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. Tamanna Khanam allows following entities to bill medicare on her behalf.
Entity Name | Nys Medical Associate Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887 |
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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. Tamanna Khanam 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 |
Tamanna Khanam, MD 2626 Halperin Ave Apt 301, Bronx, NY 10461-2631 Ph: (718) 618-0401 | Tamanna Khanam, MD 140 Main St., Poughkeepsie, NY 12601 Ph: (845) 454-7600 |
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