Beena Khetpal, is a medicare enrolled "Pediatrics" physician in California, Maryland. Her current practice location is
22590 Shady Ct, California, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 373-7900.
Beena Khetpal is licensed to practice in Maryland (license number D0055067) 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 1568497477.
Physician's Profile
| Full Name | Beena Khetpal |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 22590 Shady Ct, California, Maryland |
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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: 1568497477
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204021850
- Enrollment ID: I20101109001306
Medical Identifiers
Medical identifiers for Beena Khetpal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568497477 | NPI | - | NPPES |
| 175701600 | Medicaid | MD | |
| 370017638 | Other | MD | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | D0055067 (Maryland) | 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. Beena Khetpal allows following entities to bill medicare on her behalf.
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150223001281 |
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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. Beena Khetpal 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 |
Beena Khetpal, 22590 Shady Ct, California, MD 20619-5009 Ph: (301) 373-7900 | Beena Khetpal, 22590 Shady Ct, California, MD 20619-5009 Ph: (301) 373-7900 |
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