Mansoor Pasha Shoukat, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Lauderdale Lakes, Florida. His current practice location is
4720 N State Road 7, Lauderdale Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 606-0911.
Mansoor Pasha Shoukat is licensed to practice in Florida (license number APRN9364840) 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 1649673187.
Healthcare Provider's Profile
| Full Name | Mansoor Pasha Shoukat |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 4720 N State Road 7, Lauderdale Lakes, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1649673187
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456676501
- Enrollment ID: I20150211001813
Medical Identifiers
Medical identifiers for Mansoor Pasha Shoukat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649673187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | APRN9364840 (Florida) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | F0914579 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN9364840 (Florida) | 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. Mansoor Pasha Shoukat allows following entities to bill medicare on his behalf.
| Entity Name | Henderson Behavioral Health, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972533271
PECOS PAC ID: 4688574643
Enrollment ID: O20040113000676 |
|---|
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. Mansoor Pasha Shoukat 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 |
|---|
Mansoor Pasha Shoukat, APRN
4740 N State Road 7 Ste 201,
Lauderdale Lakes, FL 33319-5839
Ph: (954) 486-4005 | Mansoor Pasha Shoukat, APRN
4720 N State Road 7,
Lauderdale Lakes, FL 33319-5860
Ph: (954) 606-0911 |
Reviews and Comments