Toya Modeste, - Medicare Counselor in Grove, OK

Toya Modeste, is a medicare enrolled "Counselor - Mental Health" provider in Grove, Oklahoma. Her current practice location is 1115 Harbor Rd, Grove, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 859-8934.

Toya Modeste is licensed to practice in Oklahoma (license number 5644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932447000.

Contact Information

Toya Modeste,
1115 Harbor Rd,
Grove, OK 74344-3505
(918) 859-8934
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameToya Modeste
GenderFemale
SpecialityCounselor - Mental Health
Location1115 Harbor Rd, Grove, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932447000
  • Provider Enumeration Date: 01/24/2013
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365882800
  • Enrollment ID: I20240430004185

Medical Identifiers

Medical identifiers for Toya Modeste such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932447000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 5644 (Oklahoma)Primary

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. Toya Modeste allows following entities to bill medicare on her behalf.
Entity NameGrand Lake Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497762520
PECOS PAC ID: 4688711534
Enrollment ID: O20091026000174

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. Toya Modeste 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
Toya Modeste,
1115 Harbor Rd,
Grove, OK 74344-3505

Ph: () -
Toya Modeste,
1115 Harbor Rd,
Grove, OK 74344-3505

Ph: (918) 859-8934

Reviews and Comments


Counselor in Grove, OK

James Walls,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1115 Harbor Rd, Grove, OK 74344
Phone: 918-786-4434    Fax: 918-786-4435
Theresa R Page-bohannan, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 414 E 3rd St Ste D, Grove, OK 74344
Phone: 918-786-4331    Fax: 918-786-4332
Tina Louise Causey, LCSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 1115 Har-ber Road, Grove, OK 74344
Phone: 844-458-2100    
Alexandrea Turner,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Harbor Rd, Grove, OK 74344
Phone: 918-786-4434    
Mrs. Modina Pelley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1115 W. Harber Rd, Grove, OK 74344
Phone: 918-786-4434    
Gayle Lynn Dubois, MHR, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 414 E 3rd St, Grove, OK 74344
Phone: 918-480-1744    
Amber Marie Dey,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 905 E 3rd St, Grove, OK 74344
Phone: 918-787-2104    

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.