Faraz Ahmad Khan Daha, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Kenosha, Wisconsin. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is
6815 118th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 857-5600.
Faraz Ahmad Khan Daha is licensed to practice in Wisconsin (license number 2896) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235545534.
Physician's Profile
| Full Name | Faraz Ahmad Khan Daha |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 14 Years |
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| Location | 6815 118th Ave, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Faraz Ahmad Khan Daha graduated from medical school in 2010
NPI Data:
- NPI Number: 1235545534
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991096869
- Enrollment ID: I20230802003948
Medical Identifiers
Medical identifiers for Faraz Ahmad Khan Daha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235545534 | NPI | - | NPPES |
| 100241342 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 4301116619 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 2896 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3207 |
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. Faraz Ahmad Khan Daha allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Faraz Ahmad Khan Daha 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 |
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Faraz Ahmad Khan Daha, MD
6815 118th Ave,
Kenosha, WI 53142-8420
Ph: (262) 857-5600 | Faraz Ahmad Khan Daha, MD
6815 118th Ave,
Kenosha, WI 53142-8420
Ph: (262) 857-5600 |
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