Timothy Wayne Mansouri, NURSE PRACTITIONER in Folsom, CA

Timothy Wayne Mansouri, NURSE PRACTITIONER is a medicare enrolled "Registered Nurse - Pain Management" in Folsom, California. His current practice location is 1600 Creekside Dr Ste 2400, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (916) 932-4163.

Timothy Wayne Mansouri is licensed to practice in California (license number 95003073) 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 1770970899.

Contact Information

	Timothy Wayne Mansouri, NURSE PRACTITIONER
	1600 Creekside Dr Ste 2400, Folsom, CA 95630-3485
	(916) 932-4163
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Wayne Mansouri
Gender	Male
Speciality	Registered Nurse - Pain Management
Location	1600 Creekside Dr Ste 2400, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770970899
Provider Enumeration Date: 04/16/2015
Last Update Date: 03/03/2020

Medicare PECOS Information:

PECOS PAC ID: 5890120976
Enrollment ID: I20200305002283

Medical Identifiers

Medical identifiers for Timothy Wayne Mansouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770970899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0000X	Registered Nurse - Pain Management	656576 (California)	Secondary
163WP0000X	Registered Nurse - Pain Management	95003073 (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. Timothy Wayne Mansouri allows following entities to bill medicare on his behalf.

Entity Name	Advanced Pain Diagnostic & Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427322635 PECOS PAC ID: 2264695196 Enrollment ID: O20120511000538

Entity Name	Bingtao Lin Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750865358 PECOS PAC ID: 6002153723 Enrollment ID: O20190201002620

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. Timothy Wayne 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
Timothy Wayne Mansouri, NURSE PRACTITIONER 8732 Flute Cir, Elk Grove, CA 95757-1742 Ph: (209) 765-8297	Timothy Wayne Mansouri, NURSE PRACTITIONER 1600 Creekside Dr Ste 2400, Folsom, CA 95630-3485 Ph: (916) 932-4163

Reviews and Comments

Registered Nurse Nurses in Folsom, CA

Anu Varghese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1780 Creekside Dr Apt 311, Folsom, CA 95630 Phone: 469-644-7040
Jennifer Delugach, RN, PHN, CLEC, DOULA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 Yankton St, Folsom, CA 95630 Phone: 916-934-2511
Julie Bergman, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 50 Iron Point Cir Ste 140, Folsom, CA 95630 Phone: 916-970-7323
Gina Sterchi, RN, PHN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 327 1/2 Montrose Dr Apt A, Folsom, CA 95630 Phone: 916-847-8747
Linda Jean Mastin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Iron Point Rd Ste 200, Folsom, CA 95630 Phone: 404-300-0900 Fax: 859-550-2171
Reghina Catuna, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7213 Pine Grove Way, Folsom, CA 95630 Phone: 916-955-6177 Fax: 916-987-7040
Novyrose Gabat Mejia, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 330 Montrose Dr, Folsom, CA 95630 Phone: 916-273-0793

Timothy Wayne Mansouri, NURSE PRACTITIONER - Medicare Registered Nurse in Folsom, CA