Dr Sam Edward Mansour, MD is a medicare enrolled "Ophthalmology" physician in Warrenton, Virginia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice George Washington University Medical Faculty Associates, Virginia Retina Center Llc and his current practice location is
20 Rock Pointe Lane, Suite 201, Warrenton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 443-0015.
Dr Sam Edward Mansour is licensed to practice in Virginia (license number 0101233782) 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 1376506873.
Physician's Profile
| Full Name | Dr Sam Edward Mansour |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 38 Years |
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| Location | 20 Rock Pointe Lane, Warrenton, Virginia |
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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. |
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Medical Education and Training:
- Dr Sam Edward Mansour graduated from medical school in 1986
NPI Data:
- NPI Number: 1376506873
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 09/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 8921900150
- Enrollment ID: I20041123001305
Medical Identifiers
Medical identifiers for Dr Sam Edward Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376506873 | NPI | - | NPPES |
| 010107067 | Medicaid | VA | |
| 010107024 | Medicaid | VA | |
| 037331500 | Medicaid | DC | |
| 143213 | Other | VA | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 0101233782 (Virginia) | Primary |
| 207W00000X | Ophthalmology | D0059626 (Maryland) | Secondary |
| 207W00000X | Ophthalmology | MD 34095 (District Of Columbia) | Secondary |
| 207W00000X | Ophthalmology | A49545 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| George Washington University Medical Faculty Associates | 4082528898 | 651 |
| Virginia Retina Center Llc | 9335106814 | 4 |
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 Sam Edward Mansour allows following entities to bill medicare on his behalf.
| Entity Name | Medical Faculty Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417990581
PECOS PAC ID: 4082528898
Enrollment ID: O20031117000341 |
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| Entity Name | Capital Eye Consultants, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316094337
PECOS PAC ID: 2961450077
Enrollment ID: O20050105000808 |
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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 Sam Edward 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 Sam Edward Mansour, MD
20 Rock Pointe Ln, Suite 201,
Warrenton, VA 20186-2679
Ph: (703) 443-0015 | Dr Sam Edward Mansour, MD
20 Rock Pointe Lane, Suite 201,
Warrenton, VA 20186
Ph: (703) 443-0015 |
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