Mansur Pathan, DO - Medicare Nephrology in Taylor, MI

Mansur Pathan, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Taylor, Michigan. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc, Promedica Monroe Physicians Pllc, Nephrology Associates Of Michigan Pc and his current practice location is 12701 Telegraph Rd Ste 106, Taylor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 366-1361.

Mansur Pathan is licensed to practice in Ohio (license number 34.014288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144615220.

Contact Information

Mansur Pathan, DO
12701 Telegraph Rd Ste 106,
Taylor, MI 48180-4087
(734) 366-1361
(734) 366-1359



Physician's Profile

Full NameMansur Pathan
GenderMale
SpecialityNephrology
Experience9 Years
Location12701 Telegraph Rd Ste 106, Taylor, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mansur Pathan attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015
  NPI Data:
  • NPI Number: 1144615220
  • Provider Enumeration Date: 04/05/2015
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385951995
  • Enrollment ID: I20201001000227

Medical Identifiers

Medical identifiers for Mansur Pathan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144615220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 34.014288 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Promedica Monroe Regional HospitalMonroe, MIHospital
St Joseph Mercy HospitalAnn arbor, MIHospital
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
Emma L Bixby Medical CenterAdrian, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Youngstown Specialty Care Llc3476950296389
Promedica Monroe Physicians Pllc236569617648
Nephrology Associates Of Michigan Pc872913648621

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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. Mansur Pathan allows following entities to bill medicare on his behalf.
Entity NamePromedica Central Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226

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Entity NameBlanchard Valley Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083665251
PECOS PAC ID: 3971404187
Enrollment ID: O20040120000179

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Entity NameMemorial Professional Services Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205139623
PECOS PAC ID: 1456531870
Enrollment ID: O20110202000164

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Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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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. Mansur Pathan 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
Mansur Pathan, DO
46671 Pinehurst Cir,
Northville, MI 48168-8488

Ph: (734) 417-3078
Mansur Pathan, DO
12701 Telegraph Rd Ste 106,
Taylor, MI 48180-4087

Ph: (734) 366-1361

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Internal Medicine Doctors in Taylor, MI

Mr. Arash Kiarash, M.D., M.S.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 25500 Goddard Rd., Taylor, MI 48180
Phone: 313-914-2395    Fax: 313-914-2437
Durga V. Yalamanchili, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180
Phone: 313-375-2000    Fax: 313-375-2235
Manzoor Haroon, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 24887 Goddard Rd, Taylor, MI 48180
Phone: 734-946-7200    Fax: 734-946-5551
Hira Aslam, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 24555 Haig St, Taylor, MI 48180
Phone: 313-375-2000    
Janaki V Annavarapu, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 24555 Haig St, Taylor, MI 48180
Phone: 313-375-2000    
Stefan Nicholas Papandreou, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 10000 Telegraph Rd, Taylor, MI 48180
Phone: 313-295-5000    

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