Dr Justin Modugno, DDS in Canton, OH - Medicare Dentist Provider

Dr Justin Modugno, DDS is a medicare enrolled "Dentist" provider in Canton, Ohio. His current practice location is 1320 Mercy Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 471-5950.

Dr Justin Modugno is licensed to practice in Ohio (license number RES.3620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346623147.

Contact Information

	Dr Justin Modugno, DDS
	1320 Mercy Dr Nw, Canton, OH 44708-2614
	(330) 471-5950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Justin Modugno
Gender	Male
Speciality	Dentist
Location	1320 Mercy Dr Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346623147
Provider Enumeration Date: 06/30/2015
Last Update Date: 09/02/2015

Medicare PECOS Information:

PECOS PAC ID: 4981909868
Enrollment ID: I20230306000496

Medical Identifiers

Medical identifiers for Dr Justin Modugno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346623147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	30-024466 (Ohio)	Secondary
122300000X	Dentist	RES.3620 (Ohio)	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. Dr Justin Modugno allows following entities to bill medicare on his behalf.

Entity Name	Cleveland Clinic Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366433195 PECOS PAC ID: 0547156796 Enrollment ID: O20040224001287

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 Justin Modugno 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 Justin Modugno, DDS 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 471-5950	Dr Justin Modugno, DDS 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 471-5950

Reviews and Comments

Dentist in Canton, OH

Gerard J Bruno, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4573 Everhard Rd Nw, Canton, OH 44718 Phone: 330-499-2000 Fax: 330-499-2000
Dr. Bruce E Treiber, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Whipple Ave Nw, Canton, OH 44708 Phone: 330-478-4949 Fax: 330-478-9490
Dr. Marissa Mikolich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Belden Village Mall, Canton, OH 44718 Phone: 330-494-7051
Dr. Shelly L Boss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4097 Fulton Dr Nw, Canton, OH 44718 Phone: 330-492-1730
Dr. Thomas Robert Kaufholz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4550 Belden Village St Nw, Canton, OH 44718 Phone: 330-499-4600 Fax: 330-491-8179
Lyle Eugene Mcgaughey Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5872 Fulton Rd Nw, Canton, OH 44718 Phone: 330-499-2388 Fax: 330-499-2388
Dr. Kevin Sivaneri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000

Dr Justin Modugno, DDS - Medicare Dentist in Canton, OH