Dr Cory Kane Mansour, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Dacula, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Ace Pain And Spine Llc and his current practice location is
3625 Braselton Hwy Ste 201, Dacula, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 889-2326.
Dr Cory Kane Mansour is licensed to practice in Georgia (license number 81919) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871903567.
Physician's Profile
| Full Name | Dr Cory Kane Mansour |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 12 Years |
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| Location | 3625 Braselton Hwy Ste 201, Dacula, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Cory Kane Mansour attended and graduated from Medical College Of Georgia School Of Medicine in 2013
NPI Data:
- NPI Number: 1871903567
- Provider Enumeration Date: 05/02/2014
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183059447
- Enrollment ID: I20200114001992
Medical Identifiers
Medical identifiers for Dr Cory Kane Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871903567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 81919 (Georgia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 81919 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ace Pain And Spine Llc | 0042624801 | 2 |
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 Cory Kane Mansour allows following entities to bill medicare on his behalf.
| Entity Name | Mak Anesthesia Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
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| Entity Name | Ace Pain And Spine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811515554 PECOS PAC ID: 0042624801 Enrollment ID: O20210208000064 |
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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 Cory Kane 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 Cory Kane Mansour, MD 1364 Clifton Rd Ne # T5l38, Atlanta, GA 30322-1059 Ph: () - | Dr Cory Kane Mansour, MD 3625 Braselton Hwy Ste 201, Dacula, GA 30019-4695 Ph: (678) 889-2326 |
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