Anju Gupta-modak, MD in Brooklyn, NY

Anju Gupta-modak, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Brooklyn, New York. Her current practice location is 4802 10th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 283-8853.

Anju Gupta-modak is licensed to practice in New York (license number 225285) 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 1891780276.

Contact Information

	Anju Gupta-modak, MD
	4802 10th Ave, Brooklyn, NY 11219-2844
	(718) 283-8853
	(718) 635-7235

Map and Direction

Physician's Profile

Full Name	Anju Gupta-modak
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	4802 10th Ave, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891780276
Provider Enumeration Date: 09/13/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991193831
Enrollment ID: I20211027000565

Medical Identifiers

Medical identifiers for Anju Gupta-modak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891780276	NPI	-	NPPES
26N9651	Other	NY	NEIGHBORHOOD HEALTH
2603107	Other	NY	GHI
001131-A15	Other	NY	HEALTH FIRST
4C4442	Other	NY	HEALTH NET
GA5285	Other	NY	ATLANTIS HEALTH PLAN
P2068431	Other	NY	OXFORD HEALTH PLANS
001131	Other	NY	HIP
02109608	Medicaid	NY
0B7762	Other	NY	EMPIRE BCBS
1000030331	Other	NY	AFFINITY HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	225285 (New York)	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. Anju Gupta-modak allows following entities to bill medicare on her behalf.

Entity Name	Maimonides Faculty Practice Plan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597

Entity Name	Mmc Pediatrics Faculty Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496

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. Anju Gupta-modak 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
Anju Gupta-modak, MD 977 48th St, Brooklyn, NY 11219-2919 Ph: (718) 283-8015	Anju Gupta-modak, MD 4802 10th Ave, Brooklyn, NY 11219-2844 Ph: (718) 283-8853

Reviews and Comments

Pediatrics Doctors in Brooklyn, NY

Dr. Sadhana Bose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1545 Atlantic Ave, Interfaith Medical Center, Brooklyn, NY 11213 Phone: 718-613-4000
Dr. Joanne Moreau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Court St Ste 1200, Brooklyn, NY 11201 Phone: 929-239-4495
Dr. Danielle Abadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5260 Fax: 718-780-3266
Hugh Gilgoff, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Cadman Plaza West, Brooklyn, NY 11201 Phone: 929-210-6000 Fax: 929-210-6001
Dr. Ninad Desai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203 Phone: 718-245-4105 Fax: 718-245-4107
Dr. Diana E. Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203 Phone: 718-270-4714 Fax: 718-270-1985
Jane Fong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 7th Ave, Brooklyn, NY 11215 Phone: 718-246-8510

Anju Gupta-modak, MD - Medicare Pediatrics in Brooklyn, NY