Waleed Mansour, DO | |
8201 E Riverside Blvd, Rockford, IL 61114-2300 | |
(815) 971-7000 | |
Not Available |
Full Name | Waleed Mansour |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 8201 E Riverside Blvd, Rockford, Illinois |
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 |
---|---|---|---|
1043628589 | NPI | - | NPPES |
036143374 | Medicaid | IL | |
1043628589 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 74297 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 036143374 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Javon Bea Hospital | Rockford, IL | Hospital |
Divine Savior Healthcare | Portage, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Health Physicians | 2567374036 | 304 |
Divine Savior Healthcare Inc | 5799684007 | 76 |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Hospital & Medical Foundation Of Paris, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679502322 PECOS PAC ID: 7315933827 Enrollment ID: O20040421001005 |
Entity Name | Insight Chicago Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
Mailing Address | Practice Location Address |
---|---|
Waleed Mansour, DO 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000 | Waleed Mansour, DO 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Todd H. Chaffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Charles D Washington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5666 East State St, Rockford, IL 61108 Phone: 815-226-2000 Fax: 815-381-7582 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 |