Timothy Wayne Mansouri, NURSE PRACTITIONER - Medicare Registered Nurse 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 NameTimothy Wayne Mansouri
GenderMale
SpecialityRegistered Nurse - Pain Management
Location1600 Creekside Dr Ste 2400, Folsom, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1770970899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0000XRegistered Nurse - Pain Management 656576 (California)Secondary
163WP0000XRegistered 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 NameAdvanced Pain Diagnostic & Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427322635
PECOS PAC ID: 2264695196
Enrollment ID: O20120511000538
Entity NameBingtao Lin Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.