| Kadir Mansur, MD | |
|
14540 Old Saint Augustine Rd Ste 2397, Jacksonville, FL 32258 | |
| (904) 296-0670 | |
| (904) 296-0698 |
| Full Name | Kadir Mansur |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 14540 Old Saint Augustine Rd Ste 2397, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912975236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92847 (Florida) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | ME92847 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jacksonville Arlington Dialysis | Jacksonville, FL | Dialysis facility |
| Jacksonville South Dialysis Center | Jacksonville, FL | Dialysis facility |
| Regency Dialysis Center | Jacksonville, FL | Dialysis facility |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Services Pa | 1254238579 | 76 |
| National Kidney Partners Llp | 7012981350 | 52 |
| Entity Name | Physicians Group Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Kadir Mansur, MD 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Kadir Mansur, MD 14540 Old Saint Augustine Rd Ste 2397, Jacksonville, FL 32258 Ph: (904) 296-0670 |
Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |