Anzor Modzgvreschvili, RD - Medicare Dietitian in Detroit, MI

Anzor Modzgvreschvili, RD is a medicare enrolled "Dietitian, Registered - Nutrition, Gerontological" provider in Detroit, Michigan. His current practice location is 15750 Joy Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 273-6850.

Anzor Modzgvreschvili is licensed to practice in Maryland (license number C05672) 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 1245866862.

Contact Information

Anzor Modzgvreschvili, RD
15750 Joy Rd,
Detroit, MI 48228-2196
(313) 273-6850
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAnzor Modzgvreschvili
GenderMale
Speciality
Experience Years
Location15750 Joy Rd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anzor Modzgvreschvili attended and graduated from in
  NPI Data:
  • NPI Number: 1245866862
  • Provider Enumeration Date: 03/15/2020
  • Last Update Date: 09/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Anzor Modzgvreschvili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245866862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1101XDietitian, Registered - Nutrition, Gerontological (* (Not Available))Secondary
133VN1101XDietitian, Registered - Nutrition, Gerontological C05672 (Maryland)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. Anzor Modzgvreschvili 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
Anzor Modzgvreschvili, RD
6201 Greenleigh Ave,
Middle River, MD 21220-2004

Ph: () -
Anzor Modzgvreschvili, RD
15750 Joy Rd,
Detroit, MI 48228-2196

Ph: (313) 273-6850

Reviews and Comments


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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.