Mr Mahamid Ali Khan, DMD in Berwyn, IL - Medicare Dentist Provider

Mr Mahamid Ali Khan, DMD is a medicare enrolled "Dentist" provider in Berwyn, Illinois. His current practice location is 6447 Cermak Rd, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 254-1400.

Mr Mahamid Ali Khan is licensed to practice in Illinois (license number 019024670) 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 1164424016.

Contact Information

	Mr Mahamid Ali Khan, DMD
	6447 Cermak Rd, Berwyn, IL 60402-2311
	(773) 254-1400
	(312) 829-6375

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mahamid Ali Khan
Gender	Male
Speciality	Dentist
Location	6447 Cermak Rd, Berwyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164424016
Provider Enumeration Date: 08/11/2005
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4880639921
Enrollment ID: I20211215002425

Medical Identifiers

Medical identifiers for Mr Mahamid Ali Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164424016	NPI	-	NPPES
019024670	Medicaid	IL
407262500	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2005002250 (Missouri)	Secondary
122300000X	Dentist	019024670 (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. Mr Mahamid Ali Khan allows following entities to bill medicare on his behalf.

Entity Name	Alivio Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083860845 PECOS PAC ID: 5698840924 Enrollment ID: O20081114000791

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. Mr Mahamid Ali 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
Mr Mahamid Ali Khan, DMD 966 W 21st St, Chicago, IL 60608-4511 Ph: (773) 254-1400	Mr Mahamid Ali Khan, DMD 6447 Cermak Rd, Berwyn, IL 60402-2311 Ph: (773) 254-1400

Reviews and Comments

Dentist in Berwyn, IL

Dr. Margaret Anne Vizgirda, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6600 26th St, Berwyn, IL 60402 Phone: 708-788-6600 Fax: 708-788-0432
Mahmood Hassan Ali Haider Al Gailani, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6301 Cermak Rd Ste B, Berwyn, IL 60402 Phone: 708-956-7516
Dr. Daniel Mark Salerno, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6436 West Cermak Rd, Berwyn, IL 60402 Phone: 708-484-2710 Fax: 708-484-2702
Dr. Ladd Joseph Kulhanek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6642 Cermak Rd, Berwyn, IL 60402 Phone: 708-749-3222
Dr. Marsha A Babka, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2841 Home Ave, Berwyn, IL 60402 Phone: 708-484-3736
Dr. Claudia Rae Romanek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6642 Cermak Rd, Berwyn, IL 60402 Phone: 708-749-3222
Dr. Amandev Mangat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2215 Oak Park Ave, Berwyn, IL 60402 Phone: 888-867-7509

Mr Mahamid Ali Khan, DMD - Medicare Dentist in Berwyn, IL