Fatemeh Mansoori, CFNP is a medicare enrolled "Family Medicine" physician in Bosque Farms, New Mexico. She went to University Of New Mexico School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
2230 Bosque Farms Blvd, Bosque Farms, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 869-0300.
Fatemeh Mansoori is licensed to practice in New Mexico (license number CS00210250) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346335759.
Physician's Profile
Full Name | Fatemeh Mansoori |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 20 Years |
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Location | 2230 Bosque Farms Blvd, Bosque Farms, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Fatemeh Mansoori attended and graduated from University Of New Mexico School Of Medicine in 2004
NPI Data:
- NPI Number: 1346335759
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 04/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890746952
- Enrollment ID: I20050207000047
Medical Identifiers
Medical identifiers for Fatemeh Mansoori such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346335759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | CS00210250 (New Mexico) | 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. Fatemeh Mansoori allows following entities to bill medicare on her behalf.
Entity Name | Southwest Medical Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144468075 PECOS PAC ID: 5698825610 Enrollment ID: O20090615000058 |
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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. Fatemeh 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 |
Fatemeh Mansoori, CFNP 2230 Bosque Farms Blvd, Bosque Farms, NM 87068-9334 Ph: (505) 869-0300 | Fatemeh Mansoori, CFNP 2230 Bosque Farms Blvd, Bosque Farms, NM 87068-9334 Ph: (505) 869-0300 |
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