Falgun M Modhia, MD - Medicare Hematology/oncology in Springfield, MO

Falgun M Modhia, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Springfield, Missouri. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 2055 S Fremont Ave Ste 1000, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-8099.

Falgun M Modhia is licensed to practice in Missouri (license number 2019011177) 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 1942470414.

Contact Information

Falgun M Modhia, MD
2055 S Fremont Ave Ste 1000,
Springfield, MO 65804
(417) 820-8099
Not Available

Map and Direction




Physician's Profile

Full NameFalgun M Modhia
GenderMale
SpecialityHematology/oncology
Experience25 Years
Location2055 S Fremont Ave Ste 1000, Springfield, Missouri
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:
  • Falgun M Modhia graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1942470414
  • Provider Enumeration Date: 03/11/2008
  • Last Update Date: 06/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911082482
  • Enrollment ID: I20190613002989

Medical Identifiers

Medical identifiers for Falgun M Modhia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942470414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 2019011177 (Missouri)Primary
207RH0003XInternal Medicine - Hematology & Oncology 29790 (Oklahoma)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital
Mercy Hospital LebanonLebanon, MOHospital
Mercy Hospital - CassvilleCassville, MOHospital
Mercy Hospital - AuroraAurora, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845933

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. Falgun M Modhia allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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. Falgun M Modhia 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
Falgun M Modhia, MD
2055 S Fremont Ave Ste 1000,
Springfield, MO 65804-2206

Ph: (417) 820-8099
Falgun M Modhia, MD
2055 S Fremont Ave Ste 1000,
Springfield, MO 65804

Ph: (417) 820-8099

Reviews and Comments


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Phone: 417-522-5551    Fax: 417-722-0001

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).

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