Mr Mansuru Mustapha, PHYSICIAN ASSISTANT - Physician Assistant in Jblm, WA

Mr Mansuru Mustapha, PHYSICIAN ASSISTANT is a Physician Assistant based in Jblm, Washington. Mr Mansuru Mustapha is licensed to practice in * (Not Available) (license number ) and his current practice location is 9119 Mil Park Ave, Winder Clinic -raider Clinic, Jblm, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 477-0800.

NPI number for Mr Mansuru Mustapha is 1013159193 and his current mailing address is Madigan Army Center 9040 Reid St, Attn: Mchj-clq-c, Tacoma, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013159193.

Contact Information

Mr Mansuru Mustapha, PHYSICIAN ASSISTANT
9119 Mil Park Ave, Winder Clinic -raider Clinic,
Jblm, WA 98433-1100
(253) 477-0800
Not Available

Map and Direction




Provider's Profile

Full NameMr Mansuru Mustapha
GenderMale
SpecialityPhysician Assistant
Location9119 Mil Park Ave, Jblm, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013159193
  • Provider Enumeration Date: 04/03/2009
  • Last Update Date: 05/30/2013

Medical Identifiers

Medical identifiers for Mr Mansuru Mustapha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013159193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Mr Mansuru Mustapha is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mansuru Mustapha, PHYSICIAN ASSISTANT
Madigan Army Center 9040 Reid St, Attn: Mchj-clq-c,
Tacoma, WA 98431-1100

Ph: (253) 968-2252
Mr Mansuru Mustapha, PHYSICIAN ASSISTANT
9119 Mil Park Ave, Winder Clinic -raider Clinic,
Jblm, WA 98433-1100

Ph: (253) 477-0800

Reviews and Comments


Physician Assistant Nurses in Jblm, WA

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Phone: 253-967-1233    

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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.

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