Dr Izzuddin Ali Mansur, MD in Crossville, TN

Dr Izzuddin Ali Mansur, MD is a medicare enrolled "Urology" physician in Crossville, Tennessee. He graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Urology. He is a member of the group practice Covenant Medical Group Inc and his current practice location is 49 Cleveland St, Suite 220, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 707-8050.

Dr Izzuddin Ali Mansur is licensed to practice in Tennessee (license number MD30604) 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 1508828344.

Contact Information

	Dr Izzuddin Ali Mansur, MD
	49 Cleveland St, Suite 220, Crossville, TN 38555-2855
	(931) 707-8050
	(931) 707-8048

Map and Direction

Physician's Profile

Full Name	Dr Izzuddin Ali Mansur
Gender	Male
Speciality	Urology
Experience	46 Years
Location	49 Cleveland St, Crossville, Tennessee
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 Izzuddin Ali Mansur graduated from medical school in 1979

NPI Data:

NPI Number: 1508828344
Provider Enumeration Date: 04/05/2006
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 3375630890
Enrollment ID: I20071031000345

Medical Identifiers

Medical identifiers for Dr Izzuddin Ali Mansur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508828344	NPI	-	NPPES
Q063406	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD30604 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cumberland Medical Center	Crossville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Medical Group Inc	2860305463	301

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 Izzuddin Ali Mansur allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

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 Izzuddin Ali Mansur 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 Izzuddin Ali Mansur, MD 49 Cleveland St, Suite 220, Crossville, TN 38555-2855 Ph: (931) 707-8050	Dr Izzuddin Ali Mansur, MD 49 Cleveland St, Suite 220, Crossville, TN 38555-2855 Ph: (931) 707-8050

Reviews and Comments

Urology Doctors in Crossville, TN

Paul Edward Henson Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 49 Cleveland St Ste 350, Crossville, TN 38555 Phone: 931-459-1120
William P Dutton, M.D. Urology Medicare: Medicare Enrolled Practice Location: 124 Hayes St, Crossville, TN 38555 Phone: 615-351-1555
Dr. William M. Young, M.D.. Urology Medicare: Accepting Medicare Assignments Practice Location: 49 Cleveland St Ste 350, Crossville, TN 38555 Phone: 931-459-7720 Fax: 865-374-2113

Dr Izzuddin Ali Mansur, MD - Medicare Urology in Crossville, TN