Wali Sajjad Khan, APN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodridge, Illinois. His current practice location is
8103 Route 53 Apt 2, Woodridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 210-1740.
Wali Sajjad Khan is licensed to practice in Illinois (license number 209.027773) 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 1891465225.
Provider's Profile
Full Name | Wali Sajjad Khan |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 8103 Route 53 Apt 2, Woodridge, Illinois |
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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: 1891465225
- Provider Enumeration Date: 09/16/2021
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163883703
- Enrollment ID: I20230731001307
Medical Identifiers
Medical identifiers for Wali Sajjad Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891465225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041428235 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.027773 (Illinois) | 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. Wali Sajjad Khan allows following entities to bill medicare on his behalf.
Entity Name | Gottlieb Community Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
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Entity Name | Loyola Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
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Entity Name | Encore Anesthesia Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850 |
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Entity Name | Ias Illinois Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
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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. Wali Sajjad 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 |
Wali Sajjad Khan, APN-CRNA 8103 Route 53 Apt 2, Woodridge, IL 60517-3644 Ph: (630) 210-1740 | Wali Sajjad Khan, APN-CRNA 8103 Route 53 Apt 2, Woodridge, IL 60517-3644 Ph: (630) 210-1740 |
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