Faraz Ahmad Khan Daha, MD - Medicare Anesthesiology in Kenosha, WI

  1. Home
  2. Pain Medicine
  3. WI
  4. Kenosha
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 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Jacksonville Crnas 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.

Contact Information

Faraz Ahmad Khan Daha, MD
6815 118th Ave,
Kenosha, WI 53142-8420
(262) 857-5600
Not Available

Map and Direction




Physician's Profile

Full NameFaraz Ahmad Khan Daha
GenderMale
SpecialityAnesthesiology
Experience16 Years
Location6815 118th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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: I20200827001179

Medical Identifiers

Medical identifiers for Faraz Ahmad Khan Daha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235545534NPI-NPPES
100241342MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301116619 (Michigan)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 2896 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital
Memorial Medical CenterSpringfield, ILHospital
Thomas H Boyd Memorial HospitalCarrollton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jacksonville Crnas Inc296168152319

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 NameAnesthesia Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790075489
PECOS PAC ID: 6507930526
Enrollment ID: O20080808000180
Entity NameJacksonville Crnas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821302068
PECOS PAC ID: 2961681523
Enrollment ID: O20110127001154

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 AddressPractice Location Address
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

Reviews and Comments


Pain Medicine Doctors in Kenosha, WI

Alexandra Lelchuk, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6815 118th Ave, Kenosha, WI 53142
Phone: 262-857-5600    Fax: 262-857-1171

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.