Dr Michael John Modich, DC is a medicare enrolled "Chiropractor" provider in Side Lake, Minnesota. 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 | |
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Experience | 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. |
Medical Education and Training:
- Dr Michael John Modich attended and graduated from in
NPI Data:
- NPI Number: 1114237013
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/14/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael John Modich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114237013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5322 (Minnesota) | Primary |
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 |
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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