Abdallah M Mansour, MD in Fargo, ND - Medicare Internal Medicine

Abdallah M Mansour, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fargo, North Dakota. His current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8900.

Abdallah M Mansour is licensed to practice in North Dakota (license number 19014) 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 1003337973.

Contact Information

	Abdallah M Mansour, MD
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8900
	Not Available

Map and Direction

Physician's Profile

Full Name	Abdallah M Mansour
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	3000 32nd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003337973
Provider Enumeration Date: 06/30/2017
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0941570477
Enrollment ID: I20230705002492

Medical Identifiers

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

Identifier	Type	State	Issuer
1003337973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2017015904 (Missouri)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	72507 (Minnesota)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	19014 (North Dakota)	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. Abdallah M Mansour allows following entities to bill medicare on his behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. Abdallah M 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
Abdallah M Mansour, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8900	Abdallah M Mansour, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8900

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Dr. Keri Lynn Crewson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Sanford Health, 801 Broadway North, Fargo, ND 58122 Phone: 701-234-5933 Fax: 701-234-7230
Derek Anderson, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000

Abdallah M Mansour, MD - Medicare Internal Medicine in Fargo, ND