Krishna Modi, FNP-C - Medicare Nurse Practitioner in Edison, NJ

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Krishna Modi, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Edison, New Jersey. Her current practice location is 65 James St, Edison, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 321-7487.

Krishna Modi is licensed to practice in New Jersey (license number F0814274) 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 1053711572.

Contact Information

Krishna Modi, FNP-C
65 James St,
Edison, NJ 08820-3947
(732) 321-7487
Not Available

Map and Direction




Provider's Profile

Full NameKrishna Modi
GenderFemale
SpecialityNurse Practitioner - Family
Location65 James St, Edison, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053711572
  • Provider Enumeration Date: 09/03/2014
  • Last Update Date: 10/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769708619
  • Enrollment ID: I20150311002573

Medical Identifiers

Medical identifiers for Krishna Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053711572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00529500 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family F0814274 (New Jersey)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. Krishna Modi allows following entities to bill medicare on her behalf.
Entity NameCommunity Hospital Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225251754
PECOS PAC ID: 3971415209
Enrollment ID: O20031120000589
Entity NameHackensack Meridian Health Medical Group - Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000

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. Krishna Modi 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
Krishna Modi, FNP-C
65 James St,
Edison, NJ 08820-3947

Ph: (732) 321-7487		Krishna Modi, FNP-C
65 James St,
Edison, NJ 08820-3947

Ph: (732) 321-7487

Reviews and Comments


Nurse Practitioner Nurses in Edison, NJ

Marline Spencer, RN, MSN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 65 James St, Edison, NJ 08820
Phone: 732-744-5537    
Krissa Matarlo-smith, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 65 James St, Edison, NJ 08820
Phone: 732-321-7733    
Mrs. Harpreet Singh, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 Parsonage Rd, Suite 102, Edison, NJ 08837
Phone: 732-925-3335    
Chuck Weiss, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1813 Oak Tree Rd, Edison, NJ 08820
Phone: 908-769-9494    
Dr. Ricky James Jewell, DNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Parsonage Rd Ste 410, Edison, NJ 08837
Phone: 732-659-9524    Fax: 732-205-1808
Dr. Carol Anna Dinnocenzio, DNP, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Lincoln Hwy Ste 301, Edison, NJ 08820
Phone: 732-549-7380    
Miss Melissa Sunga-martin, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1964 Oak Tree Rd, Edison, NJ 08820
Phone: 732-635-0050    

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.