MEDICARE: SCOTT MANSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	2026-01841	NC
2	207RG0100X	Gastroenterology Physician	MD477006	PA
3	207RG0100X	Gastroenterology Physician	ME160920	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LSYN3	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518320399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT MANSKI

Provider Business Mailing Address
First Line	:	40 DUKE MEDICINE CIR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-4000
Country	:	US
Telephone Number	:	919-684-1817
Fax Number	:	919-479-2664

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-4000
Country	:	US
Telephone Number	:	919-684-9522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	05/11/2026

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Directions to “ SCOTT MANSKI ” Practice Location

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