Lama Mansour, in Allen Park, MI - Medicare Speech-Language Pathologist Provider

Lama Mansour, is a medicare enrolled "Speech-language Pathologist" provider in Allen Park, Michigan. Her current practice location is 1000 Republic Dr, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 282-6116.

Lama Mansour is licensed to practice in Michigan (license number 7101000061) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447621438.

Contact Information

	Lama Mansour,
	1000 Republic Dr, Allen Park, MI 48101-3658
	(313) 282-6116
	(313) 436-5188

Map and Direction

Healthcare Provider's Profile

Full Name	Lama Mansour
Gender	Female
Speciality	Speech-language Pathologist
Location	1000 Republic Dr, Allen Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447621438
Provider Enumeration Date: 10/15/2015
Last Update Date: 10/15/2015

Medicare PECOS Information:

PECOS PAC ID: 0446539803
Enrollment ID: I20161227001394

Medical Identifiers

Medical identifiers for Lama Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447621438	NPI	-	NPPES
900747294	Other	MI	SLP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101000061 (Michigan)	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. Lama Mansour allows following entities to bill medicare on her behalf.

Provider Name	Brookside Pediatric Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467225946 PECOS PAC ID: 0648623504 Enrollment ID: O20240731000488

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. Lama Mansour 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
Lama Mansour, 1000 Republic Dr, Allen Park, MI 48101-3658 Ph: (313) 282-6116	Lama Mansour, 1000 Republic Dr, Allen Park, MI 48101-3658 Ph: (313) 282-6116

Reviews and Comments

Speech-Language Pathologist in Allen Park, MI

Ashley Ann Farmer, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9150 Allen Rd, Allen Park, MI 48101 Phone: 313-386-2150
Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14719 Englewood Ave, Allen Park, MI 48101 Phone: 313-505-2723
Danielle Kaminske, MC, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 102, Allen Park, MI 48101 Phone: 313-389-5600
Fatmeh Berro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Republic Dr, Allen Park, MI 48101 Phone: 313-522-5777 Fax: 313-436-5188
Christelle Jeffrey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Republic Dr, Allen Park, MI 48101 Phone: 313-522-5777 Fax: 313-436-5188

Lama Mansour, - Medicare Speech-Language Pathologist in Allen Park, MI