Dr Mehrdad Ali Mansouri, MD, PHD is a medicare enrolled "Hospitalist" physician in Martinez, California. His current practice location is
2500 Alhambra Ave, Martinez, California. You can reach out to his office (for appointments etc.) via phone at
(925) 370-5200.
Dr Mehrdad Ali Mansouri is licensed to practice in California (license number A101584) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376532747.
Physician's Profile
Full Name | Dr Mehrdad Ali Mansouri |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 2500 Alhambra Ave, Martinez, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376532747
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850537739
- Enrollment ID: I20131024001620
Medical Identifiers
Medical identifiers for Dr Mehrdad Ali Mansouri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376532747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | A101584 (California) | Primary |
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 Mehrdad Ali Mansouri allows following entities to bill medicare on his behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | John Muir Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
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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 Mehrdad Ali Mansouri 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 |
Dr Mehrdad Ali Mansouri, MD, PHD 528 Clyne Ct, Benicia, CA 94510-3842 Ph: (707) 365-7039 | Dr Mehrdad Ali Mansouri, MD, PHD 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5200 |
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