Dr Mihir Govind Modi, DO - Medicare Family Practice in Dallastown, PA

Dr Mihir Govind Modi, DO is a medicare enrolled "Family Medicine" physician in Dallastown, Pennsylvania. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wellspan Medical Group and his current practice location is 755 S Pleasant Ave, Dallastown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 851-1300.

Dr Mihir Govind Modi is licensed to practice in Pennsylvania (license number OS011244) 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 1861424772.

Contact Information

Dr Mihir Govind Modi, DO
755 S Pleasant Ave,
Dallastown, PA 17313-9252
(717) 851-1300
(717) 851-1310

Map and Direction




Physician's Profile

Full NameDr Mihir Govind Modi
GenderMale
SpecialityFamily Practice
Experience27 Years
Location755 S Pleasant Ave, Dallastown, Pennsylvania
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:
  • Dr Mihir Govind Modi attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1997
  NPI Data:
  • NPI Number: 1861424772
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 02/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3375574114
  • Enrollment ID: I20050822001174

Medical Identifiers

Medical identifiers for Dr Mihir Govind Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861424772NPI-NPPES
611872OtherMDCAREFIRST MD BCBS
120188OtherPAUNISON-WMG
1310724OtherPAHIGHMARK BLUE SHIELD
294503OtherPAMAMSI-WMG
12463OtherPAJOHNS HOPKINS
P002839OtherPAGATEWAY-WMG
001859623MedicaidPA
0194610000OtherPAAMERIHEALTH 65 PA
20005318OtherPAAMERIHEALTH MERCY-WMG
01069203OtherPACAPITAL BLUE CROSS-WMG
100461OtherPAGEISINGER
7336508OtherPAAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS011244 (Pennsylvania)Primary
207Q00000XFamily Medicine 34007081 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
York HospitalYork, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151966

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 Mihir Govind Modi allows following entities to bill medicare on his behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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 Mihir Govind Modi 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
Dr Mihir Govind Modi, DO
3421 Concord Rd,
York, PA 17402-9001

Ph: (717) 851-1300
Dr Mihir Govind Modi, DO
755 S Pleasant Ave,
Dallastown, PA 17313-9252

Ph: (717) 851-1300

Reviews and Comments


Family Medicine Doctors in Dallastown, PA

Dr. Joel Emory Noel, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 375 W Main St, Dallastown, PA 17313
Phone: 717-244-5223    Fax: 717-417-3494
Dr. Andrew Edward Hickey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 445 S Pleasant Ave, Dallastown, PA 17313
Phone: 717-244-8627    
Dr. Mark Rowand, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Blymire Rd, Dallastown, PA 17313
Phone: 717-244-4531    Fax: 717-246-8573
Dr. Daniel Stephen Eckert, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 755 S Pleasant Ave, Dallastown, PA 17313
Phone: 717-851-1300    Fax: 717-851-1310
Donald Daugherty, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 170 Susan Dr, Dallastown, PA 17313
Phone: 717-246-0545    
Jeffrey Parker Rowand, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Blymire Rd, Dallastown, PA 17313
Phone: 717-244-4531    Fax: 717-246-8573
Dr. Mindy A Noll, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Blymire Rd, Dallastown, PA 17313
Phone: 717-244-4531    Fax: 717-246-8573

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.