Dr Cory Kane Mansour, MD | |
3625 Braselton Hwy Ste 201, Dacula, GA 30019-4695 | |
(678) 889-2326 | |
Not Available |
Full Name | Dr Cory Kane Mansour |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 11 Years |
Location | 3625 Braselton Hwy Ste 201, Dacula, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871903567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 81919 (Georgia) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 81919 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ace Pain And Spine Llc | 0042624801 | 2 |
Entity Name | Mak Anesthesia Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Ace Pain And Spine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811515554 PECOS PAC ID: 0042624801 Enrollment ID: O20210208000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Cory Kane Mansour, MD 1364 Clifton Rd Ne # T5l38, Atlanta, GA 30322-1059 Ph: () - | Dr Cory Kane Mansour, MD 3625 Braselton Hwy Ste 201, Dacula, GA 30019-4695 Ph: (678) 889-2326 |
Dr. Emily Miyuki Kurokawa, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3625 Braselton Hwy Ste 201, Dacula, GA 30019 Phone: 678-404-2220 | |
Ana C Asis, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3343 Mill Grove Ter, Dacula, GA 30019 Phone: 770-614-5376 Fax: 770-614-5376 | |
David Samuel Eisner, M. D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2936 Old Peachtree Rd, Dacula, GA 30019 Phone: 770-513-3093 |