Shukufa Mansouri, PA-C - Medicare Physician Assistant in Cary, NC

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Shukufa Mansouri, PA-C is a medicare enrolled "Physician Assistant" in Cary, North Carolina. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mcv Associated Physicians, Wake Emergency Physicians Pa and her current practice location is 210 Towne Village Dr, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 859-3373.

Shukufa Mansouri is licensed to practice in North Carolina (license number 0010-16599) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770171977.

Contact Information

Shukufa Mansouri, PA-C
210 Towne Village Dr,
Cary, NC 27513-8910
(919) 859-3373
Not Available

Map and Direction




Provider's Profile

Full NameShukufa Mansouri
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location210 Towne Village Dr, Cary, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shukufa Mansouri graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1770171977
  • Provider Enumeration Date: 01/04/2021
  • Last Update Date: 09/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4486053089
  • Enrollment ID: I20221122001280

Medical Identifiers

Medical identifiers for Shukufa Mansouri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770171977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110007625 (Virginia)Secondary
363A00000XPhysician Assistant 0010-16599 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Memorial HospitalSouth hill, VAHospital
Granville Health SystemsOxford, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcv Associated Physicians43855421171779
Wake Emergency Physicians Pa9931002078269

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. Shukufa Mansouri allows following entities to bill medicare on her behalf.
Entity NameEmergency Medicine Associates P.A., P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376917070
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559
Entity NameShenandoah Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952417735
PECOS PAC ID: 2466360375
Enrollment ID: O20040115001156
Entity NameCommonwealth Emergency Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598723082
PECOS PAC ID: 7618870312
Enrollment ID: O20040129001132
Entity NameCmh Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171
Entity NameLake Spring Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215429600
PECOS PAC ID: 6406103498
Enrollment ID: O20180723001173

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. Shukufa Mansouri 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
Shukufa Mansouri, PA-C
210 Towne Village Dr,
Cary, NC 27513-8910

Ph: (804) 368-4302		Shukufa Mansouri, PA-C
210 Towne Village Dr,
Cary, NC 27513-8910

Ph: (919) 859-3373

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.