Timothy Wayne Mansouri, NURSE PRACTITIONER | |
1600 Creekside Dr Ste 2400, Folsom, CA 95630-3485 | |
(916) 932-4163 | |
Not Available |
Full Name | Timothy Wayne Mansouri |
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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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770970899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0000X | Registered Nurse - Pain Management | 656576 (California) | Secondary |
163WP0000X | Registered Nurse - Pain Management | 95003073 (California) | Primary |
Entity Name | Advanced Pain Diagnostic & Solutions Inc |
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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 |
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 |
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 | |
Joseph Mwai, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1748 Bathgate Ct, Folsom, CA 95630 Phone: 916-718-0734 |