Dr Sanjiv S Modi, MD | |
8955 W 400 N, Michigan City, IN 46360-9330 | |
(219) 861-5800 | |
(219) 861-5543 |
Full Name | Dr Sanjiv S Modi |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 33 Years |
Location | 8955 W 400 N, Michigan City, 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 |
---|---|---|---|
1396730909 | NPI | - | NPPES |
036093810 | Medicaid | IL | |
830007251 | Other | IL | MEDICARE RR |
L77781 | Other | IL | MEDICARE INDIV ID# FOR GROUP 336140 |
L98056 | Other | IL | MEDICARE INDIV ID# FOR GROUP 205474 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 036093810 (Illinois) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 01093925A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Sanjiv S Modi, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Sanjiv S Modi, MD 8955 W 400 N, Michigan City, IN 46360-9330 Ph: (219) 861-5800 |
Dr. Joy Williams, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789 | |
Dr. Vidya Kora, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3723 Franklin St, Michigan City, IN 46360 Phone: 219-874-3313 Fax: 219-878-2330 | |
John S Kelly, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 710 Franklin St, Suite 200, Michigan City, IN 46360 Phone: 219-872-6200 Fax: 219-879-2915 | |
Naseer H Nasser, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-879-8331 | |
Kirby Douglas Slifer, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 301 W Homer St, Michigan City, IN 46360 Phone: 219-879-8511 | |
Dr. Brian Paul Dickover, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789 | |
Bikash Agarwal, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-879-0333 Fax: 219-879-0325 |