Charles S Modlin, MD | |
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
(765) 448-8000 | |
(765) 448-7619 |
Full Name | Charles S Modlin |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 5165 Mccarty Ln, Lafayette, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578527891 | NPI | - | NPPES |
0232500 | Medicaid | OH | |
815500567 | Other | IN | MEDICARE PTAN |
300061295 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 35064578M (Ohio) | Secondary |
208800000X | Urology | 01067902A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Metrohealth System | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Metrohealth System | 8628982949 | 1029 |
Entity Name | The Metrohealth System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
Mailing Address | Practice Location Address |
---|---|
Charles S Modlin, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Charles S Modlin, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Dr. David Fumo Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
John David Reisman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619 | |
Stephen D Beck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 110a, Lafayette, IN 47905 Phone: 765-447-9308 Fax: 765-447-2387 | |
Daniel B Abbott, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Dr. Stanton Maurice Regan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Norbert Michael Welch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619 |