James A Modlinger, MD - Medicare Cardiovascular Disease (cardiology) in Thousand Oaks, CA

James A Modlinger, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Thousand Oaks, California. He went to New York University School Of Medicine and graduated in 1966 and has 58 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). His current practice location is 1000 Newbury Rd, Suite #270, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (805) 375-5801.

James A Modlinger is licensed to practice in California (license number G014555) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770521056.

Contact Information

James A Modlinger, MD
1000 Newbury Rd, Suite #270,
Thousand Oaks, CA 91320-3613
(805) 375-5801
(805) 375-5080

Map and Direction




Physician's Profile

Full NameJames A Modlinger
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience58 Years
Location1000 Newbury Rd, Thousand Oaks, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James A Modlinger attended and graduated from New York University School Of Medicine in 1966
  NPI Data:
  • NPI Number: 1770521056
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416966296
  • Enrollment ID: I20060406000595

Medical Identifiers

Medical identifiers for James A Modlinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770521056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G014555 (California)Primary
207RC0000XInternal Medicine - Cardiovascular Disease G014555 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Los Robles Hospital & Medical CenterThousand oaks, CAHospital
Cedars-sinai Medical CenterLos angeles, CAHospital

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. James A Modlinger allows following entities to bill medicare on his behalf.
Entity NameHeart & Hypertension Health Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366567273
PECOS PAC ID: 1254340037
Enrollment ID: O20060406000568

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. James A 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
James A Modlinger, MD
1000 Newbury Rd, Suite #270,
Thousand Oaks, CA 91320-3613

Ph: (805) 375-5801
James A Modlinger, MD
1000 Newbury Rd, Suite #270,
Thousand Oaks, CA 91320-3613

Ph: (805) 375-5801

Reviews and Comments


Internal Medicine Doctors in Thousand Oaks, CA

Dr. Ishaque Ali Syed, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360
Phone: 619-573-4511    
Sidney Iriana, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 317 S Moorpark Rd, Thousand Oaks, CA 91361
Phone: 805-557-9930    Fax: 805-557-9940
Anjani Durga Golive, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 227 W Janss Rd Ste 340, Thousand Oaks, CA 91360
Phone: 805-852-9100    
Dr. Anthony Capparelli, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 375 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361
Phone: 805-497-7775    Fax: 805-557-1074
John Y. Hess, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2220 Lynn Rd, 201, Thousand Oaks, CA 91360
Phone: 805-494-9494    Fax: 805-374-9994
Dr. David Paul Pryor, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1683 Calle Rochelle, Thousand Oaks, CA 91360
Phone: 805-558-7059    
Dr. Saibal Kar, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 227 W Janss Rd Ste 340, Thousand Oaks, CA 91360
Phone: 805-852-9100    Fax: 805-852-9101

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.