Lucy Elizabeth Modahl, MD, PHD | |
601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 | |
(208) 415-0524 | |
(208) 763-3644 |
Full Name | Lucy Elizabeth Modahl |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 601 Front Avenue, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902868730 | NPI | - | NPPES |
101968783 | Medicaid | PA | |
1019687830001 | Other | PA | MEDICAL ASSISTANCE PA |
50017558 | Other | KY | PASSPORT |
000000548186 | Other | KY | ANTHEM |
1019687930001 | Medicaid | PA | |
P00403958 | Other | VA | MEDICARE RAILROAD |
3425955000 | Other | KY | PASSPORT ADVANTAGE |
1902868730 | Medicaid | VA | |
3810010476 | Other | VA | MEDICAID WV |
2950085 | Other | PA | MEDICAL ASSISTANCE NY |
7100025960 | Medicaid | KY | |
91725 | Other | KY | SIHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M9541 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
New York University Langone Medical Center | New york, NY | Hospital |
Long Island Community Hospital | Patchogue, NY | Hospital |
Nyc Health + Hospitals/coney Island | Brooklyn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New York University | 1355232422 | 4495 |
New York University | 1355232422 | 4495 |
Entity Name | Radiology & Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790731008 PECOS PAC ID: 9234110479 Enrollment ID: O20060418000566 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20220216001536 |
Mailing Address | Practice Location Address |
---|---|
Lucy Elizabeth Modahl, MD, PHD 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Ph: (208) 415-0524 | Lucy Elizabeth Modahl, MD, PHD 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Ph: (208) 415-0524 |
Brian J Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814 Phone: 208-666-3200 Fax: 208-666-3217 | |
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313 | |
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130 | |
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644 | |
Jeffrey Wayne Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815 Phone: 208-570-3342 | |
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301 | |
Dr. Albert Jose Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6309 Fax: 208-625-6310 |