Dr Samuel Shimon Khairkar, MD in Crown Point, IN

Dr Samuel Shimon Khairkar, MD is a medicare enrolled "Pediatrics" physician in Crown Point, Indiana. His current practice location is 1141 S Indiana Ave, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 662-0700.

Dr Samuel Shimon Khairkar is licensed to practice in Indiana (license number 01074088A) 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 1932482312.

Contact Information

	Dr Samuel Shimon Khairkar, MD
	1141 S Indiana Ave, Crown Point, IN 46307-7205
	(219) 662-0700
	(219) 662-0973

Map and Direction

Physician's Profile

Full Name	Dr Samuel Shimon Khairkar
Gender	Male
Speciality	Pediatrics
Location	1141 S Indiana Ave, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932482312
Provider Enumeration Date: 09/22/2011
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0446567333
Enrollment ID: I20180815002503

Medical Identifiers

Medical identifiers for Dr Samuel Shimon Khairkar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932482312	NPI	-	NPPES
300017808	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.057740 (Illinois)	Secondary
208000000X	Pediatrics	036-137624 (Illinois)	Secondary
208000000X	Pediatrics	01074088A (Indiana)	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 Samuel Shimon Khairkar allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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 Samuel Shimon Khairkar 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 Samuel Shimon Khairkar, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Samuel Shimon Khairkar, MD 1141 S Indiana Ave, Crown Point, IN 46307-7205 Ph: (219) 662-0700

Reviews and Comments

Pediatrics Doctors in Crown Point, IN

Dr. Lisa Camille Gold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973
Destiny Harrell-washington, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770
Dr. Melanie Carol Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11161 Randolph St, Crown Point, IN 46307 Phone: 219-662-9424 Fax: 219-662-7465
Anisha Ashwin Amin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973
Darlene Sekerez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Po Box 903, Crown Point, IN 46308 Phone: 219-746-1818
Silvia Beatriz Vicente, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973
Amberly Brewer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 S Court St, Suite 101, Crown Point, IN 46307 Phone: 219-757-6495 Fax: 219-757-6481

Dr Samuel Shimon Khairkar, MD - Medicare Pediatrics in Crown Point, IN