Dr Paul Steven Modlinger, MD - Medicare Nephrology in Fairfax, VA

Dr Paul Steven Modlinger, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fairfax, Virginia. He went to New York University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Virginia Nephrology Group Llp, Blue Ridge Medical Management Corporation and his current practice location is 3930 Walnut Street, Suite 101, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 246-9246.

Dr Paul Steven Modlinger is licensed to practice in Virginia (license number 0101236049) 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 1053405688.

Contact Information

Dr Paul Steven Modlinger, MD
3930 Walnut Street, Suite 101,
Fairfax, VA 22030-4738
(703) 246-9246
(703) 246-9257

Map and Direction




Physician's Profile

Full NameDr Paul Steven Modlinger
GenderMale
SpecialityNephrology
Experience27 Years
Location3930 Walnut Street, Fairfax, Virginia
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 Paul Steven Modlinger attended and graduated from New York University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1053405688
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 02/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5597729160
  • Enrollment ID: I20041113000078

Medical Identifiers

Medical identifiers for Dr Paul Steven Modlinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053405688NPI-NPPES
010083770MedicaidVA
010085811MedicaidVA
010184983MedicaidVA
010085918MedicaidVA
010085683MedicaidVA
010085837MedicaidVA
010085691MedicaidVA
010085829MedicaidVA
010085934MedicaidVA
010124743MedicaidVA
9202002OtherCIGNA
47430007OtherCAREFIRST
010083753MedicaidVA
010085845MedicaidVA
2128905OtherMAMSI
010085721MedicaidVA
010085870MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 0101236049 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Renal Carepartners - Arlington/alexandriaArlington, VADialysis facility
Fairfax Dialysis CenterFairfax, VADialysis facility
Total Renal Care - FairfaxFairfax, VADialysis facility
Inova Fairfax HospitalFalls church, VAHospital
Virginia Hospital CenterArlington, VAHospital
Inova Alexandria HospitalAlexandria, VAHospital
Johnston Memorial HospitalAbingdon, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Virginia Nephrology Group Llp206247185715
Blue Ridge Medical Management Corporation9739099441280

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 Paul Steven Modlinger allows following entities to bill medicare on his behalf.
Entity NameVirginia Nephrology Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013001601
PECOS PAC ID: 2062471857
Enrollment ID: O20041007000398

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 Paul Steven Modlinger 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 Paul Steven Modlinger, MD
3930 Walnut Street, Suite 101,
Fairfax, VA 22030-4738

Ph: (703) 246-9246
Dr Paul Steven Modlinger, MD
3930 Walnut Street, Suite 101,
Fairfax, VA 22030-4738

Ph: (703) 246-9246

Reviews and Comments


Internal Medicine Doctors in Fairfax, VA

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Renee Elizabeth Funches, M.D.
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Phone: 703-934-5700    

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.