Dr Prachi Mahendra Modi, MD - Medicare Emergency Medicine in East Norriton, PA

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Dr Prachi Mahendra Modi, MD is a medicare enrolled "Emergency Medicine" physician in East Norriton, Pennsylvania. Her current practice location is 559 W Germantown Pike, East Norriton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 622-0611.

Dr Prachi Mahendra Modi is licensed to practice in Pennsylvania (license number MD443559) 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 1053583849.

Contact Information

Dr Prachi Mahendra Modi, MD
559 W Germantown Pike,
East Norriton, PA 19403-4250
(484) 622-0611
Not Available

Map and Direction




Physician's Profile

Full NameDr Prachi Mahendra Modi
GenderFemale
SpecialityEmergency Medicine
Location559 W Germantown Pike, East Norriton, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053583849
  • Provider Enumeration Date: 04/01/2008
  • Last Update Date: 10/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1557421591
  • Enrollment ID: I20110811000293

Medical Identifiers

Medical identifiers for Dr Prachi Mahendra Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053583849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD443559 (Pennsylvania)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. Dr Prachi Mahendra Modi allows following entities to bill medicare on her behalf.
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728
Entity NameTri-county Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801102355
PECOS PAC ID: 6002001021
Enrollment ID: O20101116000342

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 Prachi Mahendra 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 Prachi Mahendra Modi, MD
Po Box 8500-8735,
Philadelphia, PA 19178-8735

Ph: (215) 456-4695		Dr Prachi Mahendra Modi, MD
559 W Germantown Pike,
East Norriton, PA 19403-4250

Ph: (484) 622-0611

Reviews and Comments


Emergency Medicine Doctors in East Norriton, PA

Robert Fine, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 E Germantown Pike, East Norriton, PA 19401
Phone: 610-994-0063    Fax: 570-253-8633
Dr. Michela Mickler, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 559 W Germantown Pike, East Norriton, PA 19403
Phone: 484-622-1000    
Brian Paul Duffell,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 E Germantown Pike, East Norriton, PA 19401
Phone: 610-994-0063    
Bilal Ali Khan, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 559 W Germantown Pike, East Norriton, PA 19403
Phone: 484-622-1000    
Dr. Olivia M Bowles, DO, MS
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 559 W Germantown Pike, East Norriton, PA 19403
Phone: 484-622-1000    

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.