Joseph Ashimedua Modestus, PMHNP - Medicare Nurse Practitioner in Los Angeles, CA

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Joseph Ashimedua Modestus, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Los Angeles, California. His current practice location is 6200 Wilshire Blvd Ste 1410, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (925) 282-1778.

Joseph Ashimedua Modestus is licensed to practice in California (license number NP95016877) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750982054.

Contact Information

Joseph Ashimedua Modestus, PMHNP
6200 Wilshire Blvd Ste 1410,
Los Angeles, CA 90048-5815
(925) 282-1778
(415) 296-5299

Map and Direction




Physician's Profile

Full NameJoseph Ashimedua Modestus
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6200 Wilshire Blvd Ste 1410, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750982054
  • Provider Enumeration Date: 11/03/2020
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476922691
  • Enrollment ID: I20221212000074

Medical Identifiers

Medical identifiers for Joseph Ashimedua Modestus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750982054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2020037670 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health NP95016877 (California)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. Joseph Ashimedua Modestus allows following entities to bill medicare on his behalf.
Entity NameJwch Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407808058
PECOS PAC ID: 1850394123
Enrollment ID: O20060807000476
Entity NameMobile Physicians Medical Allied Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184199275
PECOS PAC ID: 7810233491
Enrollment ID: O20190326000349
Entity NamePenciu Medical Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295351740
PECOS PAC ID: 2062827132
Enrollment ID: O20210223002020

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. Joseph Ashimedua Modestus 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
Joseph Ashimedua Modestus, PMHNP
6200 Wilshire Blvd Ste 1410,
Los Angeles, CA 90048-5815

Ph: (925) 282-1778		Joseph Ashimedua Modestus, PMHNP
6200 Wilshire Blvd Ste 1410,
Los Angeles, CA 90048-5815

Ph: (925) 282-1778

Reviews and Comments



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.