Mumtaz Khan, PA - Physician Assistant in Fort Campbell, KY

Mumtaz Khan, PA is a Physician Assistant based in Fort Campbell, Kentucky. Mumtaz Khan is licensed to practice in Wisconsin (license number 1919) and his current practice location is 650 Joel Dr, Blanchfield Hospital, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 798-8388.

NPI number for Mumtaz Khan is 1093795726 and his current mailing address is 650 Joel Dr, Blanchfield Hospital, Fort Campbell, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093795726.

Contact Information

Mumtaz Khan, PA
650 Joel Dr, Blanchfield Hospital,
Fort Campbell, KY 42223-5318
(270) 798-8388
Not Available



Provider's Profile

Full NameMumtaz Khan
GenderMale
SpecialityPhysician Assistant
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093795726
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 10/27/2014

Medical Identifiers

Medical identifiers for Mumtaz Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093795726NPI-NPPES
42873300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1919 (Wisconsin)Primary

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. Mumtaz Khan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mumtaz Khan, PA
650 Joel Dr, Blanchfield Hospital,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8388
Mumtaz Khan, PA
650 Joel Dr, Blanchfield Hospital,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8388

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› Verified 8 days ago


Physician Assistant Nurses in Fort Campbell, KY

Christopher Alyn Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-3535    
Gregory Hershey,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8727    Fax: 270-956-0180
Angela Liszewski, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-978-8400    
Kevin Lee Larose, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8075    
Matthew Bedinghaus,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Mark Leon Siebe, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Jessica Johns, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223
Phone: 270-798-4677    

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