Mrs Yurata Gerwel Modzelewski, MD is a medicare enrolled "Pediatrics" physician in Boonton Twp, New Jersey. Her current practice location is
105 Powerville Road, Boonton Twp, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 299-2903.
Mrs Yurata Gerwel Modzelewski is licensed to practice in New Jersey (license number 25MA03879000) 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 1275796286.
Physician's Profile
Full Name | Mrs Yurata Gerwel Modzelewski |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 105 Powerville Road, Boonton Twp, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275796286
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 07/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 2860705365
- Enrollment ID: I20150713001741
Medical Identifiers
Medical identifiers for Mrs Yurata Gerwel Modzelewski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275796286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25MA03879000 (New Jersey) | Primary |
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. Mrs Yurata Gerwel Modzelewski 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 |
Mrs Yurata Gerwel Modzelewski, MD 105 Powerville Road, Boonton Twp, NJ 07005 Ph: (973) 299-2903 | Mrs Yurata Gerwel Modzelewski, MD 105 Powerville Road, Boonton Twp, NJ 07005 Ph: (973) 299-2903 |
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