Omar Khan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hattiesburg, Mississippi. His current practice location is
5001 Hardy St, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 296-3963.
Omar Khan is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558002477.
Physician's Profile
| Full Name | Omar Khan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5001 Hardy St, Hattiesburg, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558002477
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173042223
- Enrollment ID: I20250522000308
Medical Identifiers
Medical identifiers for Omar Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558002477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 33492 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Omar Khan allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Mississippi Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982174488
PECOS PAC ID: 5193633907
Enrollment ID: O20080512000004 |
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| Entity Name | Medical Services Of Meridian Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174095988
PECOS PAC ID: 7315285376
Enrollment ID: O20190218000483 |
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| Entity Name | Rh Emergency Medicine Of Marion General Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841064110
PECOS PAC ID: 0648623744
Enrollment ID: O20240124004763 |
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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. Omar 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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Omar Khan,
274 Battery Ave,
Brooklyn, NY 11209-7139
Ph: (347) 419-2802 | Omar Khan,
5001 Hardy St,
Hattiesburg, MS 39402-1308
Ph: (601) 296-3963 |
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