Dr Faizmohamed M Mansuri, MD | |
340 Montage Mountain Rd, Moosic, PA 18507-1782 | |
(570) 589-0707 | |
(570) 955-1971 |
Full Name | Dr Faizmohamed M Mansuri |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 340 Montage Mountain Rd, Moosic, Pennsylvania |
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 |
---|---|---|---|
1194756593 | NPI | - | NPPES |
MA1736698 | Other | PA | BCBS |
101437233001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD427029 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleanslate Medical Group Of Pennsylvania Llc | 8426334400 | 33 |
Entity Name | Cleanslate Medical Group Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184177263 PECOS PAC ID: 8426334400 Enrollment ID: O20170405000660 |
Mailing Address | Practice Location Address |
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Dr Faizmohamed M Mansuri, MD 2 Somerset Close, Moosic, PA 18507-2110 Ph: (570) 589-0707 | Dr Faizmohamed M Mansuri, MD 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 589-0707 |
Mark Lyons, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 532 Main St, Suite 1, Moosic, PA 18507 Phone: 570-471-3569 Fax: 570-471-7052 | |
Ralph Demario, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 340 Momtage Mt Road, Moosic, PA 18507 Phone: 570-969-1669 Fax: 570-207-0883 | |
Kenneth J Sebastianelli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 532 Main St, Suite 1, Moosic, PA 18507 Phone: 570-471-7044 Fax: 570-471-7052 |