Dr Shahrokh Mansoori, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Rochester Hills, Michigan. His current practice location is
135 Barclay Cir, Ste 109, Rochester Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 844-2980.
Dr Shahrokh Mansoori is licensed to practice in Michigan (license number SM038518) 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 1053334177.
Physician's Profile
| Full Name | Dr Shahrokh Mansoori |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 135 Barclay Cir, Rochester Hills, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053334177
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 04/28/2010
Medicare PECOS Information:
- PECOS PAC ID: 1951290162
- Enrollment ID: I20040316000112
Medical Identifiers
Medical identifiers for Dr Shahrokh Mansoori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053334177 | NPI | - | NPPES |
| 3306336001 | Other | MI | BLUE CROSS |
| 1404338 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | SM038518 (Michigan) | 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. Dr Shahrokh Mansoori allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Providence Rochester Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437272523 PECOS PAC ID: 8820994098 Enrollment ID: O20040316000704 |
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| Entity Name | Mymichigan Medical Center Midland |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
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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 Shahrokh Mansoori 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 Shahrokh Mansoori, MD 135 Barclay Cir, Ste 109, Rochester Hills, MI 48307-4599 Ph: (248) 844-2980 | Dr Shahrokh Mansoori, MD 135 Barclay Cir, Ste 109, Rochester Hills, MI 48307-4599 Ph: (248) 844-2980 |
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