Rehan E Khan, DNP-BC is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" in New York, New York. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nitin Mariwalla Md Pllc and his current practice location is
609 W 114th St, Apt. 73, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 597-3533.
Rehan E Khan is licensed to practice in New York (license number 343149) 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 1104130947.
Provider's Profile
| Full Name | Rehan E Khan |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 609 W 114th St, New York, New York |
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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:
- Rehan E Khan graduated from nursing school in 2018
NPI Data:
- NPI Number: 1104130947
- Provider Enumeration Date: 08/04/2010
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779952247
- Enrollment ID: I20221206002116
Medical Identifiers
Medical identifiers for Rehan E Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104130947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 632777 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 343149 (New York) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 343149 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 343149 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Nitin Mariwalla Md Pllc | 0941692495 | 9 |
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. Rehan E Khan allows following entities to bill medicare on his behalf.
| Entity Name | Nitin Mariwalla Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659943942 PECOS PAC ID: 0941692495 Enrollment ID: O20220113001817 |
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| Entity Name | Kdv Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346830254 PECOS PAC ID: 2365811817 Enrollment ID: O20221206001478 |
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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. Rehan E 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 |
Rehan E Khan, DNP-BC 609 W 114th St, Apt. 73, New York, NY 10025-7972 Ph: (917) 597-3533 | Rehan E Khan, DNP-BC 609 W 114th St, Apt. 73, New York, NY 10025 Ph: (917) 597-3533 |
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