Dr Jaudat H Khan, MD - Medicare Nephrology in Staten Island, NY

Dr Jaudat H Khan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Staten Island, New York. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Staten Island Nephrology Pc and his current practice location is 1366 Victory Blvd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 273-3400.

Dr Jaudat H Khan is licensed to practice in New York (license number 270723) 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 1457683179.

Contact Information

Dr Jaudat H Khan, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907
(718) 273-3400
Not Available



Physician's Profile

Full NameDr Jaudat H Khan
GenderMale
SpecialityNephrology
Experience17 Years
Location1366 Victory Blvd, Staten Island, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jaudat H Khan graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1457683179
  • Provider Enumeration Date: 02/05/2010
  • Last Update Date: 12/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2567696925
  • Enrollment ID: I20131018000311

Medical Identifiers

Medical identifiers for Dr Jaudat H Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457683179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 270723 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Staten Island University HospitalStaten island, NYHospital
Richmond University Medical CenterStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Staten Island Nephrology Pc88209875714

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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. Dr Jaudat H Khan allows following entities to bill medicare on his behalf.
Entity NameStaten Island Nephrology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982682001
PECOS PAC ID: 8820987571
Enrollment ID: O20040311001215

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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. Dr Jaudat H 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
Dr Jaudat H Khan, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907

Ph: (718) 273-3400
Dr Jaudat H Khan, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907

Ph: (718) 273-3400

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Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308
Phone: 718-226-7855    Fax: 718-227-5814
Deepak Vadada, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1050 Clove Rd, Staten Island, NY 10301
Phone: 718-816-6440    Fax: 718-816-3611
Dr. Samantha Maria Lee, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9510    Fax: 718-226-3473
Dr. Jean Chalhoub, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305
Phone: 718-226-8855    
Dr. Gustave Stephen Drivas, M.D.,
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312
Phone: 718-948-3890    Fax: 718-948-3961
Dr. Beatrice Nogueira, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-6902    Fax: 718-226-6844
Dr. Felicia Tenedios, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314
Phone: 718-447-0055    Fax: 718-876-5212

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