Mr Shamshudeen Khan, PA in Elyria, OH - Medicare Physician Assistant

Mr Shamshudeen Khan, PA is a medicare enrolled "Physician Assistant - Surgical" in Elyria, Ohio. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fairview Hospital and his current practice location is 630 E River St, Elyria, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 329-7500.

Mr Shamshudeen Khan is licensed to practice in Ohio (license number 50002336) 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 1215980404.

Contact Information

	Mr Shamshudeen Khan, PA
	630 E River St, Elyria, OH 44035-5902
	(440) 329-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shamshudeen Khan
Gender	Male
Speciality	Physician Assistant
Experience	23 Years
Location	630 E River St, Elyria, Ohio
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 Shamshudeen Khan graduated from nursing school in 2001

NPI Data:

NPI Number: 1215980404
Provider Enumeration Date: 05/18/2006
Last Update Date: 02/07/2008

Medicare PECOS Information:

PECOS PAC ID: 4082624598
Enrollment ID: I20060428000014

Medical Identifiers

Medical identifiers for Mr Shamshudeen Khan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215980404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	50002336 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Hospital	4688571730	79

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 Shamshudeen 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
Mr Shamshudeen Khan, PA 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500	Mr Shamshudeen Khan, PA 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500

Reviews and Comments

Physician Assistant Nurses in Elyria, OH

Mr. James R. Roe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Emh Regional Medical Center, 630 East River St., Elyria, OH 44035 Phone: 440-329-7500
William Brown, Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-326-5414
Mrs. Audrey Havens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Elyria, OH 44035 Phone: 440-406-5500
Clara Wilson, C- PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 E Broad St, Elyria, OH 44035 Phone: 440-365-2600 Fax: 440-366-5543
Rachael Lee Ray, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Jacob E Barnes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7450

Mr Shamshudeen Khan, PA - Medicare Physician Assistant in Elyria, OH