Poonam Modha, MD in Providence, RI - Medicare Psychiatry & Neurology

Poonam Modha, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Providence, Rhode Island. Her current practice location is 345 Blackstone Blvd, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 455-6571.

Poonam Modha is licensed to practice in Rhode Island (license number MD12839) 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 1679611842.

Contact Information

	Poonam Modha, MD
	345 Blackstone Blvd, Providence, RI 02906-4800
	(401) 455-6571
	(401) 455-6293

Map and Direction

Physician's Profile

Full Name	Poonam Modha
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	345 Blackstone Blvd, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679611842
Provider Enumeration Date: 02/01/2007
Last Update Date: 12/03/2009

Medicare PECOS Information:

PECOS PAC ID: 1153467444
Enrollment ID: I20220209000402

Medical Identifiers

Medical identifiers for Poonam Modha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679611842	NPI	-	NPPES
PM75975	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD12839 (Rhode Island)	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. Poonam Modha allows following entities to bill medicare on her behalf.

Entity Name	The Mclean Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228

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. Poonam Modha 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
Poonam Modha, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6571	Poonam Modha, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6571

Reviews and Comments

Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 167 Point St, Providence, RI 02903 Phone: 401-793-8808 Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 35 S Angell St Ste 8, Providence, RI 02906 Phone: 401-753-8821
Eugenie Atallah, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-606-2645 Fax: 401-606-4386
Dr. Luisa Skoble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119
Arnaldo A Berges, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119
Sharath Ponnappa Puttichanda, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 401-455-6346 Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448

Poonam Modha, MD - Medicare Psychiatry & Neurology in Providence, RI