Anjum F Khan, NP - Medicare Nurse Practitioner in Chicago, IL

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Anjum F Khan, NP is a medicare enrolled "Nurse Practitioner" in Chicago, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightside Medical Pa, Advocate Health And Hospitals Corporation, Optum Behavioral Care Of Colorado Pc and her current practice location is 4753 N Broadway St Ste 403, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 989-2780.

Anjum F Khan is licensed to practice in Illinois (license number 277-001490) 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 1548651979.

Contact Information

Anjum F Khan, NP
4753 N Broadway St Ste 403,
Chicago, IL 60640-7910
(773) 989-2780
Not Available

Map and Direction




Provider's Profile

Full NameAnjum F Khan
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4753 N Broadway St Ste 403, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anjum F Khan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1548651979
  • Provider Enumeration Date: 02/06/2015
  • Last Update Date: 04/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9638495054
  • Enrollment ID: I20150303000273

Medical Identifiers

Medical identifiers for Anjum F Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548651979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14955 (Wisconsin)Secondary
363L00000XNurse Practitioner 277-001490 (Illinois)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 14955-33 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 277001490 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 277001490 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brightside Medical Pa367894880992
Advocate Health And Hospitals Corporation78108009353081
Optum Behavioral Care Of Colorado Pc0941648463196

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. Anjum F Khan allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health and Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameBrightside Medical PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609335660
PECOS PAC ID: 3678948809
Enrollment ID: O20230331000963
Entity NameOptum Behavioral Care of Colorado PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023888450
PECOS PAC ID: 0941648463
Enrollment ID: O20240717003350

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. Anjum F 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 AddressPractice Location Address
Anjum F Khan, NP
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900		Anjum F Khan, NP
4753 N Broadway St Ste 403,
Chicago, IL 60640-7910

Ph: (773) 989-2780

Reviews and Comments


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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.