Anastacia P Modo, in Austell, GA - Medicare Nurse Practitioner

Anastacia P Modo, is a medicare enrolled "Nurse Practitioner" in Austell, Georgia. Her current practice location is 1810 Mulkey Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 540-7597.

Anastacia P Modo is licensed to practice in Georgia (license number RN241610) 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 1831692110.

Contact Information

	Anastacia P Modo,
	1810 Mulkey Rd, Austell, GA 30106-1151
	(678) 540-7597
	Not Available

Map and Direction

Provider's Profile

Full Name	Anastacia P Modo
Gender	Female
Speciality	Nurse Practitioner
Location	1810 Mulkey Rd, Austell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831692110
Provider Enumeration Date: 03/13/2018
Last Update Date: 12/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7416378229
Enrollment ID: I20200603001946

Medical Identifiers

Medical identifiers for Anastacia P Modo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831692110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN241610 (Georgia)	Primary
363LF0000X	Nurse Practitioner - Family	241610 (Georgia)	Secondary

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. Anastacia P Modo allows following entities to bill medicare on her behalf.

Entity Name	True North Health Navigation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578047536 PECOS PAC ID: 5294960696 Enrollment ID: O20191011002051

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. Anastacia P Modo 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
Anastacia P Modo, 2704 Haynescrest Dr, Grayson, GA 30017-4280 Ph: (678) 834-3828	Anastacia P Modo, 1810 Mulkey Rd, Austell, GA 30106-1151 Ph: (678) 540-7597

Reviews and Comments

Nurse Practitioner Nurses in Austell, GA

Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209

Anastacia P Modo, - Medicare Nurse Practitioner in Austell, GA