Khaled Hassan, MD - Medicare Family Practice in Pine Bluff, AR

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Khaled Hassan, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. He went to Meharry Medical College School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Arkansas Emergency Staffing Solutions Inc, Ess Of Fordyce Llc, Hospital Care Consultants Of Fordyce Llc and his current practice location is 1601 W 40th Ave Ste 100, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-6010.

Khaled Hassan is licensed to practice in Arkansas (license number E15898) 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 1144807694.

Contact Information

Khaled Hassan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069
(870) 541-6010
(870) 541-6009

Map and Direction




Physician's Profile

Full NameKhaled Hassan
GenderMale
SpecialityFamily Practice
Experience7 Years
Location1601 W 40th Ave Ste 100, Pine Bluff, Arkansas
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:
  • Khaled Hassan attended and graduated from Meharry Medical College School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1144807694
  • Provider Enumeration Date: 03/29/2021
  • Last Update Date: 09/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709262116
  • Enrollment ID: I20221007000264

Medical Identifiers

Medical identifiers for Khaled Hassan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144807694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E15868 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine E15898 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ashley County Medical CenterCrossett, ARHospital
Dallas County Medical CenterFordyce, ARHospital
Magnolia Regional Medical CenterMagnolia, ARHospital
Baptist Health Medical Center-drew CountyMonticello, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Emergency Staffing Solutions Inc327468134114
Ess Of Fordyce Llc12546116014
Hospital Care Consultants Of Fordyce Llc53950244759

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. Khaled Hassan allows following entities to bill medicare on his behalf.
Entity NameBradley County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972620649
PECOS PAC ID: 2961316112
Enrollment ID: O20040105000148
Entity NameBoard of Governors of Dallas County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043308935
PECOS PAC ID: 7416869300
Enrollment ID: O20040302000815
Entity NameBradley County Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1194741611
PECOS PAC ID: 2961316112
Enrollment ID: O20061104000221
Entity NameBoard of Governors of Dallas County Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306826029
PECOS PAC ID: 7416869300
Enrollment ID: O20070226000752
Entity NameBradley County Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1861519548
PECOS PAC ID: 2961316112
Enrollment ID: O20071012000379
Entity NameOuachita County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346354826
PECOS PAC ID: 4587641055
Enrollment ID: O20080813000469
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014
Entity NameEmergency Staffing Solutions Region III
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689967895
PECOS PAC ID: 3375721707
Enrollment ID: O20110706000473
Entity NameEss Hospitalist LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120308000726
Entity NameMonticello Ess LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184010753
PECOS PAC ID: 4880914639
Enrollment ID: O20150519002625
Entity NameEss of El Dorado, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861851131
PECOS PAC ID: 8325345432
Enrollment ID: O20160404001667
Entity NameHospital Care Consultants of Fordyce LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316497464
PECOS PAC ID: 5395024475
Enrollment ID: O20161112000042
Entity NameEss of Fordyce LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821547977
PECOS PAC ID: 1254611601
Enrollment ID: O20161201001070
Entity NameHcc of Magnolia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831865872
PECOS PAC ID: 3779980750
Enrollment ID: O20210917000064
Entity NameHcc of El Dorado LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003578725
PECOS PAC ID: 1850789488
Enrollment ID: O20211101000418
Entity NameEss of Mcgehee LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639822653
PECOS PAC ID: 0749677516
Enrollment ID: O20220426000293

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. Khaled Hassan 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
Khaled Hassan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6010		Khaled Hassan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6010

Reviews and Comments


Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603
Phone: 870-619-4516    
Simmie Armstrong Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603
Phone: 870-535-6461    Fax: 870-535-0594
Ahmed Yahya Amin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6010    Fax: 870-541-6009
Dr. Sree Chellappan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010
Dr. Terry Liefde, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6009
Manuel R Kelley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601
Phone: 870-543-2380    Fax: 870-535-4716
Pavana Naga Gopi Krishna Tirumanisetti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6009

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.