Dr Prema Modak, MD in Fairfax, VA - Medicare Ophthalmology

Dr Prema Modak, MD is a medicare enrolled "Ophthalmology" physician in Fairfax, Virginia. She went to Rutgers New Jersey Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Eye Specialists And Surgeons Of Northern Virginia Llc and her current practice location is 3998 Fair Ridge Dr Ste 105, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 349-2191.

Dr Prema Modak is licensed to practice in Virginia (license number 0101240540) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689894578.

Contact Information

	Dr Prema Modak, MD
	3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980
	(571) 349-2191
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Prema Modak
Gender	Female
Speciality	Ophthalmology
Experience	22 Years
Location	3998 Fair Ridge Dr Ste 105, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Prema Modak attended and graduated from Rutgers New Jersey Medical School in 2002

NPI Data:

NPI Number: 1689894578
Provider Enumeration Date: 04/26/2007
Last Update Date: 07/30/2019

Medicare PECOS Information:

PECOS PAC ID: 1052580735
Enrollment ID: I20110815000539

Medical Identifiers

Medical identifiers for Dr Prema Modak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689894578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	D0070139 (Maryland)	Secondary
207W00000X	Ophthalmology	0101240540 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Specialists And Surgeons Of Northern Virginia Llc	1658672886	8

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 Prema Modak allows following entities to bill medicare on her behalf.

Entity Name	Farhad Naseh Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245254630 PECOS PAC ID: 2769403013 Enrollment ID: O20051214000369

Entity Name	Eye Specialists And Surgeons Of Northern Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275904674 PECOS PAC ID: 1658672886 Enrollment ID: O20151214000649

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 Prema 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
Dr Prema Modak, MD 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 Ph: (571) 349-2191	Dr Prema Modak, MD 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 Ph: (571) 349-2191

Reviews and Comments

Ophthalmology Doctors in Fairfax, VA

Dr. David Benjamin Summer, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3031 Javier Rd, Suite 300, Fairfax, VA 22031 Phone: 703-698-8880 Fax: 703-698-8884
Dr. James W Slack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Parkway, Fairfax, VA 22033 Phone: 703-934-5820 Fax: 703-934-5290
Dr. John C Baldinger, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3025 Hamaker Ct Ste 101, Fairfax, VA 22031 Phone: 703-876-9630 Fax: 703-876-0163
Dr. Minh-phuong Lu Doan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente, Fairfax, VA 22033 Phone: 702-934-5700
Dr. Kristen Elizabeth Dunbar, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033 Phone: 571-349-2191 Fax: 571-349-2211
John William Josephson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033 Phone: 571-349-2191 Fax: 571-349-2211
Dr. Jonathan Taylormoore, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 Phone: 703-876-2788 Fax: 571-776-3190

Dr Prema Modak, MD - Medicare Ophthalmology in Fairfax, VA