Dr Michael John Modich, DC is a medicare enrolled "Chiropractor" provider in Side Lake, Minnesota. He went to Northwestern College Of Chiropractic and graduated in 2009 and has 15 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Range Spine Center, Pllc and his current practice location is
7636 Pine Tree Rd, Side Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 969-4928.
Dr Michael John Modich is licensed to practice in Minnesota (license number 5322) 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 1114237013.
Healthcare Provider's Profile
| Full Name | Dr Michael John Modich |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 15 Years |
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| Location | 7636 Pine Tree Rd, Side Lake, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael John Modich attended and graduated from Northwestern College Of Chiropractic in 2009
NPI Data:
- NPI Number: 1114237013
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/14/2010
Medicare PECOS Information:
- PECOS PAC ID: 5597919027
- Enrollment ID: I20130409000169
Medical Identifiers
Medical identifiers for Dr Michael John Modich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114237013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5322 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Range Spine Center, Pllc | 2062666597 | 2 |
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. Dr Michael John Modich allows following entities to bill medicare on his behalf.
| Provider Name | Range Spine Center, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720338676
PECOS PAC ID: 2062666597
Enrollment ID: O20130208000022 |
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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. Dr Michael John Modich 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 Address | Practice Location Address |
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Dr Michael John Modich, DC
7636 Pine Tree Rd,
Side Lake, MN 55781-8441
Ph: (218) 969-4928 | Dr Michael John Modich, DC
7636 Pine Tree Rd,
Side Lake, MN 55781-8441
Ph: (218) 969-4928 |
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