| Dr Mehernosh Pheroze Khan, MD | |
|
631b North Street, Pittsfield, MA 01201-4109 | |
| (413) 499-2054 | |
| (413) 445-9174 |
| Full Name | Dr Mehernosh Pheroze Khan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 631b North Street, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083604433 | NPI | - | NPPES |
| 110093827A | Medicaid | MA | |
| 0008041750009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD038265L (Pennsylvania) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | 25344 (Massachusetts) | Secondary |
| Entity Name | Berkshire Faculty Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mehernosh Pheroze Khan, MD 55 Pittsfiled Rd, Lenox, MA 01240 Ph: (413) 344-1700 | Dr Mehernosh Pheroze Khan, MD 631b North Street, Pittsfield, MA 01201-4109 Ph: (413) 499-2054 |
Jonathan B Grenoble, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Elm St, Pittsfield, MA 01201 Phone: 413-442-1019 Fax: 413-447-8521 |
Eugene H Heyman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 Elm St, Pittsfield, MA 01201 Phone: 413-442-1019 Fax: 413-447-8521 |
Dr. Giro Richard Samale, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 North Street, Pittsfield, MA 01201 Phone: 413-447-2351 Fax: 413-445-7009 |
Kelsey Whytock Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Elm St, Pittsfield, MA 01201 Phone: 413-442-1019 Fax: 413-447-8521 |
Michael J Murray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Elm St, Pittsfield, MA 01201 Phone: 413-442-1019 Fax: 413-447-8521 |
Robert M Taylor, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 Elm St, Pittsfield, MA 01201 Phone: 413-442-1019 Fax: 413-447-8521 |
Dr. Stephen J Berch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 52 Northumberland Rd, Pittsfield, MA 01201 Phone: 518-828-2020 |