Nicole Mansur, PA-C - Medicare Physician Assistant in Loma Linda, CA

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Nicole Mansur, PA-C is a medicare enrolled "Physician Assistant" in Loma Linda, California. Her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4000.

Nicole Mansur is licensed to practice in California (license number PA58072) 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 1366082737.

Contact Information

Nicole Mansur, PA-C
11234 Anderson St,
Loma Linda, CA 92354-2804
(909) 558-4000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Mansur
GenderFemale
SpecialityPhysician Assistant
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366082737
  • Provider Enumeration Date: 01/13/2020
  • Last Update Date: 08/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527479161
  • Enrollment ID: I20201202002830

Medical Identifiers

Medical identifiers for Nicole Mansur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366082737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA58072 (California)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. Nicole Mansur allows following entities to bill medicare on her behalf.
Entity NameMission Viejo Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073542916
PECOS PAC ID: 2163335241
Enrollment ID: O20031106000308
Entity NameFaculty Physicians and Surgeons of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameSt Jude Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720190804
PECOS PAC ID: 8224923479
Enrollment ID: O20040217001064
Entity NameMission Viejo Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134355597
PECOS PAC ID: 7315090271
Enrollment ID: O20090725000046

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. Nicole Mansur 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
Nicole Mansur, PA-C
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: Not Available		Nicole Mansur, PA-C
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: (909) 558-4000

Reviews and Comments


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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.