Mr Khursheed A Siddiqui, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Danville, Kentucky. He went to Eastern Virginia Medical School and graduated in 1988 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Advanced Family Medical Clinic Mount Vernon, Advanced Family Medical Clinic Liberty, Ephraim Mcdowell Health Resource Inc and his current practice location is
300 West Broadway, Danville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 236-0606.
Mr Khursheed A Siddiqui is licensed to practice in Kentucky (license number 28741) 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 1881634368.
Physician's Profile
| Full Name | Mr Khursheed A Siddiqui |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 38 Years |
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| Location | 300 West Broadway, Danville, Kentucky |
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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. |
Medical Education and Training:
- Mr Khursheed A Siddiqui attended and graduated from Eastern Virginia Medical School in 1988
NPI Data:
- NPI Number: 1881634368
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779554050
- Enrollment ID: I20040802000679
Medical Identifiers
Medical identifiers for Mr Khursheed A Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881634368 | NPI | - | NPPES |
| 64287410 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 28741 (Kentucky) | Secondary |
| 207L00000X | Anesthesiology | 28741 (Kentucky) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 28741 (Kentucky) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 28741 (Kentucky) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 28741 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Advanced Family Medical Clinic Mount Vernon | 2062780810 | 6 |
| Advanced Family Medical Clinic Liberty | 3173891926 | 5 |
| Ephraim Mcdowell Health Resource Inc | 7517876956 | 135 |
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. Mr Khursheed A Siddiqui allows following entities to bill medicare on his behalf.
| Entity Name | University Of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
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| Entity Name | Danville Anesthesia Associates, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821038696 PECOS PAC ID: 9032016910 Enrollment ID: O20031218000008 |
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| Entity Name | Ephraim Mcdowell Health Resource Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487708533 PECOS PAC ID: 7517876956 Enrollment ID: O20031218000776 |
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| Entity Name | Central Kentucky Interventional Pain Center, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407855935 PECOS PAC ID: 0143292748 Enrollment ID: O20040812000474 |
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| Entity Name | United Clinics Of Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427161769 PECOS PAC ID: 2668457094 Enrollment ID: O20050225000679 |
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| Entity Name | Advanced Family Medical Clinic Mount Vernon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578090403 PECOS PAC ID: 2062780810 Enrollment ID: O20171026003512 |
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| Entity Name | Advanced Family Medical Clinic Liberty |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023545241 PECOS PAC ID: 3173891926 Enrollment ID: O20171026003580 |
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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. Mr Khursheed A Siddiqui 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 |
Mr Khursheed A Siddiqui, MD 300 West Broadway, Danville, KY 40422-1408 Ph: (859) 236-0606 | Mr Khursheed A Siddiqui, MD 300 West Broadway, Danville, KY 40422-1408 Ph: (859) 236-0606 |
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