Imran Khan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Spring Valley, California. His current practice location is
8788 Jamacha Rd, Spring Valley, California. You can reach out to his office (for appointments etc.) via phone at
(619) 515-2555.
Imran Khan is licensed to practice in California (license number 95025725) 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 1801267828.
Provider's Profile
| Full Name | Imran Khan |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 8788 Jamacha Rd, Spring Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801267828
- Provider Enumeration Date: 10/16/2015
- Last Update Date: 11/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143664763
- Enrollment ID: I20240221004108
Medical Identifiers
Medical identifiers for Imran Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801267828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 707089 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404765 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95025725 (California) | 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. Imran Khan allows following entities to bill medicare on his behalf.
| Entity Name | Community Healthcare Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316014103
PECOS PAC ID: 7416855143
Enrollment ID: O20040322000987 |
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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. Imran 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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Imran Khan, PMHNP
823 Gateway Center Way,
San Diego, CA 92102-4541
Ph: (619) 515-2300 | Imran Khan, PMHNP
8788 Jamacha Rd,
Spring Valley, CA 91977-4035
Ph: (619) 515-2555 |
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