Dr Hadi Mohammad Khan, MD in Green Bay, WI

Dr Hadi Mohammad Khan, MD is a medicare enrolled "Surgery" physician in Green Bay, Wisconsin. His current practice location is 720 S Vanburen St, Suite 201, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-7488.

Dr Hadi Mohammad Khan is licensed to practice in Wisconsin (license number 64318-20) 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 1265605679.

Contact Information

	Dr Hadi Mohammad Khan, MD
	720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534
	(920) 433-7488
	(920) 433-7439

Map and Direction

Physician's Profile

Full Name	Dr Hadi Mohammad Khan
Gender	Male
Speciality	Surgery
Location	720 S Vanburen St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265605679
Provider Enumeration Date: 04/07/2008
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 0840509170
Enrollment ID: I20151027001998

Medical Identifiers

Medical identifiers for Dr Hadi Mohammad Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265605679	NPI	-	NPPES
64318-20	Other	WI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	13520 (South Dakota)	Secondary
208600000X	Surgery	64318-20 (Wisconsin)	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. Dr Hadi Mohammad Khan allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

Entity Name	Divine Savior Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909

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. Dr Hadi Mohammad 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
Dr Hadi Mohammad Khan, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222	Dr Hadi Mohammad Khan, MD 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 Ph: (920) 433-7488

Reviews and Comments

Surgery Doctors in Green Bay, WI

Edgar (ted) King Collison Iv, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700
Dr. Peter V Gapinski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308 Phone: 920-288-8100
Dr. Teresa A Gonzaga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488
Carrie Ann Thoms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1379
Daniel Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Karri Adamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240
Daniel Joseph Budreau, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8250

Dr Hadi Mohammad Khan, MD - Medicare Surgery in Green Bay, WI