Nisar Khan, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Bloomsburg, Pennsylvania. He graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Geisinger Clinic and his current practice location is
425 E 1st St, Bloomsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 387-2055.
Nisar Khan is licensed to practice in Pennsylvania (license number MD475877) 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 1437647468.
Physician's Profile
| Full Name | Nisar Khan |
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| Gender | Male |
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| Speciality | Addiction Medicine |
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| Experience | 14 Years |
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| Location | 425 E 1st St, Bloomsburg, Pennsylvania |
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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:
- Nisar Khan graduated from medical school in 2012
NPI Data:
- NPI Number: 1437647468
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597147306
- Enrollment ID: I20220726002791
Medical Identifiers
Medical identifiers for Nisar Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437647468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0300X | Preventive Medicine - Addiction Medicine | MD475877 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Geisinger Clinic | 5395657001 | 3078 |
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. Nisar Khan allows following entities to bill medicare on his behalf.
| Entity Name | Geisinger Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518 |
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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. Nisar 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 |
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Nisar Khan, MD
100 N Academy Ave,
Danville, PA 17822-4903
Ph: (570) 271-6144 | Nisar Khan, MD
425 E 1st St,
Bloomsburg, PA 17815-1480
Ph: (570) 387-2055 |
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