Maryam Idrees Khan, MD in Pueblo, CO - Medicare Surgical Oncology

Maryam Idrees Khan, MD is a medicare enrolled "Surgery" physician in Pueblo, Colorado. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Surgical Oncology. She is a member of the group practice Parkview Ancillary Services Corporation, Poudre Valley Medical Group Llc and her current practice location is 1600 N Grand Ave Ste 430, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 545-8240.

Maryam Idrees Khan is licensed to practice in Colorado (license number DR.0073816) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215426440.

Contact Information

	Maryam Idrees Khan, MD
	1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760
	(719) 545-8240
	(719) 545-4319

Map and Direction

Physician's Profile

Full Name	Maryam Idrees Khan
Gender	Female
Speciality	Surgical Oncology
Experience	7 Years
Location	1600 N Grand Ave Ste 430, Pueblo, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maryam Idrees Khan graduated from medical school in 2018

NPI Data:

NPI Number: 1215426440
Provider Enumeration Date: 05/03/2018
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6901263532
Enrollment ID: I20240827003575

Medical Identifiers

Medical identifiers for Maryam Idrees Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215426440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	322450 (New York)	Secondary
2086X0206X	Surgery - Surgical Oncology	322450 (New York)	Secondary
2086X0206X	Surgery - Surgical Oncology	DR.0073816 (Colorado)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	DR.0073816 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Medical Center, Inc	Pueblo, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Ancillary Services Corporation	4385722511	273
Poudre Valley Medical Group Llc	9638208549	1992

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. Maryam Idrees Khan allows following entities to bill medicare on her behalf.

Entity Name	Parkview Ancillary Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. Maryam Idrees Khan 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
Maryam Idrees Khan, MD 1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760 Ph: (719) 545-8240	Maryam Idrees Khan, MD 1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760 Ph: (719) 545-8240

Reviews and Comments

Surgery Doctors in Pueblo, CO

Dr. Paul Raymond Radway, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3506 San Jose Ct, Pueblo, CO 81005 Phone: 719-252-6467
Pantelis Hadjizacharia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Court St, Pueblo, CO 81003 Phone: 719-562-2300
Michael Lee King, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Ste 510, Pueblo, CO 81003 Phone: 719-566-3535 Fax: 719-566-3565
Dr. Gregory Dewayne Mcclain, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-3777 Fax: 719-557-3775
Dr. Rina K. Shinn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947
Priscilla Nobecourt, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003 Phone: 719-545-8240
Philip Charles Marin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 N Grand Ave, Pueblo, CO 81003 Phone: 719-669-8487 Fax: 719-669-8488

Maryam Idrees Khan, MD - Medicare Surgical Oncology in Pueblo, CO