| Dr Nafees Khan, MD | |
|
2512 Hurst Dr Ste 130, Mattoon, IL 61938-9200 | |
| (217) 258-5900 | |
| Not Available |
| Full Name | Dr Nafees Khan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 2512 Hurst Dr Ste 130, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548255243 | NPI | - | NPPES |
| P00469958 | Other | IL | RR MEDICARE |
| 036096917 | Medicaid | IL | |
| 99106 | Other | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 036096917 (Illinois) | Primary |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nafees Khan, MD 611 W. Park St., Fapc, Urbana, IL 61801 Ph: (217) 902-5291 | Dr Nafees Khan, MD 2512 Hurst Dr Ste 130, Mattoon, IL 61938-9200 Ph: (217) 258-5900 |
Dr. David R Knox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 | |
Roza Ioffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Aamir S Ansari, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Rachel T Lape, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Richmond Ave E Ste 4, Mattoon, IL 61938 Phone: 217-238-5345 Fax: 217-238-5348 | |
Mrs. Amy J Leifheit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Ivan T. Snowden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Drive, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 |