Mrinalini Modak, MD in Oklahoma City, OK - Medicare Internal Medicine

Mrinalini Modak, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. Her current practice location is 800 Stanton L Young Blvd # 8425, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 271-6173.

Mrinalini Modak is licensed to practice in Oklahoma (license number 38134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790148633.

Contact Information

	Mrinalini Modak, MD
	800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018
	(405) 271-6173
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrinalini Modak
Gender	Female
Speciality	Internal Medicine - Pulmonary Disease
Location	800 Stanton L Young Blvd # 8425, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790148633
Provider Enumeration Date: 03/29/2016
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4880988138
Enrollment ID: I20190717002118

Medical Identifiers

Medical identifiers for Mrinalini Modak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790148633	NPI	-	NPPES
38134	Other	OK	OK MEDICAL LICENSE
62568	Other	CT	CT MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036171041 (Illinois)	Secondary
208M00000X	Hospitalist	62568 (Connecticut)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	38134 (Oklahoma)	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. Mrinalini Modak allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Mrinalini Modak 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 Address	Practice Location Address
Mrinalini Modak, MD 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018 Ph: (405) 271-6173	Mrinalini Modak, MD 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018 Ph: (405) 271-6173

Reviews and Comments

Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Patrick Bronson Reeves, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448
Dr. Jake Lee Evans, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Shawn Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211
Metri Haddaden, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184
Divya Sharma Divyadarshini, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Philip Barton Miner, Jr., M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296

Mrinalini Modak, MD - Medicare Internal Medicine in Oklahoma City, OK