Samuel Mansour, MD - Medicare Emergency Medicine in Pontotoc, MS

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Samuel Mansour, MD is a medicare enrolled "Emergency Medicine" physician in Pontotoc, Mississippi. His current practice location is 176 South Main St, Pontotoc, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 488-7640.

Samuel Mansour is licensed to practice in Mississippi (license number 9152) 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 1306894555.

Contact Information

Samuel Mansour, MD
176 South Main St,
Pontotoc, MS 38863
(662) 488-7640
(662) 488-7675

Map and Direction




Physician's Profile

Full NameSamuel Mansour
GenderMale
SpecialityEmergency Medicine
Location176 South Main St, Pontotoc, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306894555
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 12/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7517926603
  • Enrollment ID: I20041005000700

Medical Identifiers

Medical identifiers for Samuel Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306894555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 9152 (Mississippi)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. Samuel Mansour allows following entities to bill medicare on his behalf.
Entity NameNortheast Ms Internal Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407831928
PECOS PAC ID: 6507843356
Enrollment ID: O20040630000694
Entity NameUnited Emergency Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326007915
PECOS PAC ID: 5799697272
Enrollment ID: O20040903000729
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050407000866
Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460
Entity NameDobbs Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205499639
PECOS PAC ID: 2860723731
Enrollment ID: O20191007002499

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. Samuel 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
Samuel Mansour, MD
176 South Main St,
Pontotoc, MS 38863

Ph: (662) 488-7640		Samuel Mansour, MD
176 South Main St,
Pontotoc, MS 38863

Ph: (662) 488-7640

Reviews and Comments


Emergency Medicine Doctors in Pontotoc, MS


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.