Mara C Modzeski, MD - Medicare Otolaryngology in Port Matilda, PA

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Mara C Modzeski, MD is a medicare enrolled "Otolaryngology" physician in Port Matilda, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Geisinger Clinic and her current practice location is 132 Abigail Ln, Port Matilda, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 272-5011.

Mara C Modzeski is licensed to practice in Pennsylvania (license number MD464929) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053758094.

Contact Information

Mara C Modzeski, MD
132 Abigail Ln,
Port Matilda, PA 16870-7153
(814) 272-5011
(814) 272-6531

Map and Direction




Physician's Profile

Full NameMara C Modzeski
GenderFemale
SpecialityOtolaryngology
Experience11 Years
Location132 Abigail Ln, Port Matilda, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mara C Modzeski attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2013
  NPI Data:
  • NPI Number: 1053758094
  • Provider Enumeration Date: 05/31/2013
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264673391
  • Enrollment ID: I20180912003684

Medical Identifiers

Medical identifiers for Mara C Modzeski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053758094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 58125 (Minnesota)Secondary
207Y00000XOtolaryngology MD464929 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger-lewistown HospitalLewistown, PAHospital
Geisinger Medical CenterDanville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012841

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. Mara C Modzeski allows following entities to bill medicare on her behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameGeisinger-hm Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144876137
PECOS PAC ID: 1355676370
Enrollment ID: O20190826000803

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. Mara C Modzeski 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
Mara C Modzeski, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144		Mara C Modzeski, MD
132 Abigail Ln,
Port Matilda, PA 16870-7153

Ph: (814) 272-5011

Reviews and Comments


Otolaryngology Doctors in Port Matilda, PA

Dr. Evan James Harlor, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 132 Abigail Ln, Port Matilda, PA 16870
Phone: 814-272-5011    Fax: 814-272-6531
Dr. Henry Cramer, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 132 Abigail Lane, Port Matilda, PA 16870
Phone: 814-272-5011    Fax: 814-272-6531

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.