Sidra Khan, OTR/L in Fairfield, NJ - Medicare Occupational Therapist Provider

Sidra Khan, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fairfield, New Jersey. Her current practice location is 333 Us Highway 46 Ste 135, Fairfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 943-4300.

Sidra Khan is licensed to practice in New Jersey (license number 46TR01124000) 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 1558055624.

Contact Information

	Sidra Khan, OTR/L
	333 Us Highway 46 Ste 135, Fairfield, NJ 07004-2427
	(973) 943-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sidra Khan
Gender	Female
Speciality	Occupational Therapist
Location	333 Us Highway 46 Ste 135, Fairfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558055624
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0547613358
Enrollment ID: I20240129001953

Medical Identifiers

Medical identifiers for Sidra Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558055624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	46TR01124000 (New Jersey)	Secondary
225XP0200X	Occupational Therapist - Pediatrics	46TR01124000 (New Jersey)	Secondary
225X00000X	Occupational Therapist	46TR01124000 (New Jersey)	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. Sidra Khan allows following entities to bill medicare on her behalf.

Provider Name	Mecca Integrated Medical Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427296698 PECOS PAC ID: 5496890691 Enrollment ID: O20100226000262

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. Sidra 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
Sidra Khan, OTR/L 48 Celia Ter, Belleville, NJ 07109-1438 Ph: (551) 268-9931	Sidra Khan, OTR/L 333 Us Highway 46 Ste 135, Fairfield, NJ 07004-2427 Ph: (973) 943-4300

Reviews and Comments

Occupational Therapist in Fairfield, NJ

Dr. Jenna Van Benschoten, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515
Jaime Zirk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Addison Dr, Fairfield, NJ 07004 Phone: 201-926-4333
Brooke Keena, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave, Fairfield, NJ 07004 Phone: 973-800-8515
Victoria Sauser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515
Christina Giannini, MS OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515
Mrs. Kelly J Lee, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515

Sidra Khan, OTR/L - Medicare Occupational Therapist in Fairfield, NJ