Sidra Khan, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fairfield, New Jersey. Her current practice location is
333 Us Highway 46 Ste 135, Fairfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 943-4300.
Sidra Khan is licensed to practice in New Jersey (license number 46TR01124000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558055624.
Healthcare Provider's Profile
| Full Name | Sidra Khan |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 333 Us Highway 46 Ste 135, Fairfield, New Jersey |
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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: 1558055624
- Provider Enumeration Date: 06/02/2023
- Last Update Date: 06/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547613358
- Enrollment ID: I20240129001953
Medical Identifiers
Medical identifiers for Sidra Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558055624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR01124000 (New Jersey) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 46TR01124000 (New Jersey) | Secondary |
| 225X00000X | Occupational Therapist | 46TR01124000 (New Jersey) | 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. Sidra Khan allows following entities to bill medicare on her behalf.
| Provider Name | Mecca Integrated Medical Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427296698
PECOS PAC ID: 5496890691
Enrollment ID: O20100226000262 |
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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. Sidra 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 |
|---|
Sidra Khan, OTR/L
48 Celia Ter,
Belleville, NJ 07109-1438
Ph: (551) 268-9931 | Sidra Khan, OTR/L
333 Us Highway 46 Ste 135,
Fairfield, NJ 07004-2427
Ph: (973) 943-4300 |
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