Mansour Mohamed Issam Mansour, DO - Medicare Emergency Medicine in Taylor, MI

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Mansour Mohamed Issam Mansour, DO is a medicare enrolled "Emergency Medicine" physician in Taylor, Michigan. His current practice location is 10000 Telegraph Rd, Taylor, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 295-5000.

Mansour Mohamed Issam Mansour is licensed to practice in Michigan (license number 5151014003) 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 1366002735.

Contact Information

Mansour Mohamed Issam Mansour, DO
10000 Telegraph Rd,
Taylor, MI 48180-3330
(313) 295-5000
Not Available

Map and Direction




Physician's Profile

Full NameMansour Mohamed Issam Mansour
GenderMale
SpecialityEmergency Medicine
Location10000 Telegraph Rd, Taylor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366002735
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820320146
  • Enrollment ID: I20210726001832

Medical Identifiers

Medical identifiers for Mansour Mohamed Issam Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366002735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 34.016312 (Ohio)Secondary
207P00000XEmergency Medicine 5151014003 (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. Mansour Mohamed Issam Mansour allows following entities to bill medicare on his behalf.
Entity NameEmergency Professionals Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952740656
PECOS PAC ID: 3274767371
Enrollment ID: O20131003000093
Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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. Mansour Mohamed Issam 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 AddressPractice Location Address
Mansour Mohamed Issam Mansour, DO
4965 Heather Dr Apt 202,
Dearborn, MI 48126-4175

Ph: () -		Mansour Mohamed Issam Mansour, DO
10000 Telegraph Rd,
Taylor, MI 48180-3330

Ph: (313) 295-5000

Reviews and Comments


Emergency Medicine Doctors in Taylor, MI

Dr. Daniel Gadzinski, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10000 Telegraph Rd, Emergency Medicine Department, Taylor, MI 48180
Phone: 313-295-5007    Fax: 313-295-6725
Gaiti Ara Bakhsh, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10000 Telegraph Road,, Emergency Medicine Department, Taylor, MI 48180
Phone: 313-295-5007    Fax: 313-295-6725
Ahmad Ali Al-jamal, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10000 Telegraph Rd, Taylor, MI 48180
Phone: 313-295-5000    
Heather Walters, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10000 Telegraph Rd, Emergency Medicine Department, Taylor, MI 48180
Phone: 313-295-5007    Fax: 313-295-6725
Bohdan Boytsov, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10000 Telegraph Rd, Taylor, MI 48180
Phone: 313-295-5253    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.