Anissa Mansoori, PA-C is a medicare enrolled "Physician Assistant" physician in Mission Viejo, California. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice F Awadalla Md Pc, Ocean Skin And Vein Institute and her current practice location is
27800 Medical Center Rd Ste 220, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at
(949) 545-6605.
Anissa Mansoori is licensed to practice in California (license number A125067) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1356861975.
Physician's Profile
| Full Name | Anissa Mansoori |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 27800 Medical Center Rd Ste 220, Mission Viejo, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anissa Mansoori graduated from medical school in 2016
NPI Data:
- NPI Number: 1356861975
- Provider Enumeration Date: 06/24/2017
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193072593
- Enrollment ID: I20200526003064
Medical Identifiers
Medical identifiers for Anissa Mansoori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356861975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 8205 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | A125067 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| F Awadalla Md Pc | 0446685481 | 2 |
| Ocean Skin And Vein Institute | 9335482835 | 8 |
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. Anissa Mansoori 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 |
|---|
Anissa Mansoori, PA-C
27800 Medical Center Rd Ste 220,
Mission Viejo, CA 92691-6408
Ph: (949) 545-6605 | Anissa Mansoori, PA-C
27800 Medical Center Rd Ste 220,
Mission Viejo, CA 92691-6408
Ph: (949) 545-6605 |
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