Soohan Mansuri, MD | |
511 Pierce St, Kingston, PA 18704-5731 | |
(570) 714-3333 | |
(570) 338-3993 |
Full Name | Soohan Mansuri |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 511 Pierce St, Kingston, 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 |
---|---|---|---|
1194179887 | NPI | - | NPPES |
1032455380003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD467882 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Commonwealth Home Health & Hospice Of Wilkes-barre | Forty fort, PA | Home health agency |
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Center Of Northeastern Pa Llc | 1951579762 | 5 |
Ultra Care Urgent And Family Care | 1951662063 | 5 |
Entity Name | Medical Center Of Northeastern Pa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872 |
Entity Name | Ultra Care Urgent And Family Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205334729 PECOS PAC ID: 1951662063 Enrollment ID: O20180307000606 |
Mailing Address | Practice Location Address |
---|---|
Soohan Mansuri, MD Po Box 1935, Kingston, PA 18704-0935 Ph: (570) 288-8881 | Soohan Mansuri, MD 511 Pierce St, Kingston, PA 18704-5731 Ph: (570) 714-3333 |
Dr. Anthony Giardina, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 349 Pierce St, Kingston, PA 18704 Phone: 570-288-2300 Fax: 570-288-2298 | |
Danita Renelsa Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Sharpe Street, Kingston, PA 18704 Phone: 570-552-8966 Fax: 570-552-8958 | |
Dr. Brent Keen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Wyoming Ave, Kingston, PA 18704 Phone: 570-714-3050 Fax: 570-714-3051 | |
Dr. Michael E. Kordek, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 499 Wyoming Ave, Kingston, PA 18704 Phone: 570-283-2161 Fax: 570-714-0670 | |
Dr. Maureen M Litchman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Sharpe Street, Kingston, PA 18704 Phone: 570-552-8900 Fax: 570-552-8958 | |
Dr. Kimberly Ann M. Kovalick, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 Pierce St, Kingston, PA 18704 Phone: 570-283-2161 Fax: 570-714-0670 |