Amr Elmansoury, is a medicare enrolled "Physician Assistant" in Holtsville, New York. His current practice location is
6 Lilac Ln, Holtsville, New York. You can reach out to his office (for appointments etc.) via phone at
(216) 835-7151.
Amr Elmansoury is licensed to practice in New York (license number 028099) 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 1700473683.
Provider's Profile
Full Name | Amr Elmansoury |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 6 Lilac Ln, Holtsville, New York |
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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: 1700473683
- Provider Enumeration Date: 12/28/2020
- Last Update Date: 09/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123415478
- Enrollment ID: I20220505000159
Medical Identifiers
Medical identifiers for Amr Elmansoury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700473683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 028099 (New York) | 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. Amr Elmansoury 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 |
Amr Elmansoury, 506 Lenox Ave, New York, NY 10037-1802 Ph: (212) 939-1000 | Amr Elmansoury, 6 Lilac Ln, Holtsville, NY 11742-2554 Ph: (216) 835-7151 |
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