Miriam Ibrahim Mansour, MD in Kalamazoo, MI - Medicare Student in an Organized Health Care Education/Training Program

Miriam Ibrahim Mansour, MD - Medicare Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Miriam Ibrahim Mansour, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. Her current practice location is 1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 337-4400.

Miriam Ibrahim Mansour is licensed to practice in Michigan (license number 4301100685) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326308743.

Contact Information

	Miriam Ibrahim Mansour, MD
	1000 Oakland Dr, Kalamazoo, MI 49008-1282
	(269) 337-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Miriam Ibrahim Mansour
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1000 Oakland Dr, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326308743
Provider Enumeration Date: 05/18/2012
Last Update Date: 05/18/2012

Medicare PECOS Information:

PECOS PAC ID: 1658501176
Enrollment ID: I20140303000803

Medical Identifiers

Medical identifiers for Miriam Ibrahim Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326308743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	4301100685 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	4301100685 (Michigan)	Primary

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. Miriam Ibrahim 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
Miriam Ibrahim Mansour, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400	Miriam Ibrahim Mansour, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400