Dr Ayman Mohammed Omar Mansour, MD in Roanoke, VA

Dr Ayman Mohammed Omar Mansour, MD is a medicare enrolled "Pediatrics" physician in Roanoke, Virginia. His current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 224-4635.

Dr Ayman Mohammed Omar Mansour is licensed to practice in Virginia (license number 0101287607) 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 1124223722.

Contact Information

	Dr Ayman Mohammed Omar Mansour, MD
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 224-4635
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ayman Mohammed Omar Mansour
Gender	Male
Speciality	Pediatrics
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124223722
Provider Enumeration Date: 06/15/2007
Last Update Date: 11/28/2025

Medicare PECOS Information:

PECOS PAC ID: 6709038409
Enrollment ID: I20121203000538

Medical Identifiers

Medical identifiers for Dr Ayman Mohammed Omar Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124223722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101287607 (Virginia)	Primary
208000000X	Pediatrics	25MA083602 (New Jersey)	Secondary
208000000X	Pediatrics	MD448187 (Pennsylvania)	Secondary

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. Dr Ayman Mohammed Omar Mansour allows following entities to bill medicare on his behalf.

Entity Name	Lakewood Resource And Referral Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083748297 PECOS PAC ID: 6901981497 Enrollment ID: O20080307000331

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. Dr Ayman Mohammed Omar 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
Dr Ayman Mohammed Omar Mansour, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Dr Ayman Mohammed Omar Mansour, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 224-4635

Reviews and Comments

Pediatrics Doctors in Roanoke, VA

Camron L Johnson Privitera, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5000 Brambleton Ave Ste B, Roanoke, VA 24018 Phone: 540-200-8091 Fax: 540-799-7848
Robert C Gard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Highland Ave Se, Ste 100, Roanoke, VA 24013 Phone: 540-344-9213 Fax: 540-345-7559
Alison Ensor Dunn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4348 Electric Rd, Roanoke, VA 24018 Phone: 540-769-0976
Joseph Tamez, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4348 Electric Rd, Roanoke, VA 24018 Phone: 540-769-0976 Fax: 540-857-5393
Kaitlyn Bixel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-224-4635 Fax: 540-985-9099
Susan Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Summers Way, Roanoke, VA 24019 Phone: 540-992-1251
Dr. Erinn E Hokanson, NP Pediatrics Medicare: Medicare Enrolled Practice Location: 4348 Electric Rd, Roanoke, VA 24018 Phone: 540-769-0975 Fax: 540-772-8219

Dr Ayman Mohammed Omar Mansour, MD - Medicare Pediatrics in Roanoke, VA