Mr Troy G Modisette, PMHNP - Medicare Nurse Practitioner in Baltimore, MD

Mr Troy G Modisette, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sinai Hospital Of Baltimore, Inc and his current practice location is 2401 W Belvedere Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 601-1000.

Mr Troy G Modisette is licensed to practice in Maryland (license number R148972) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255974549.

Contact Information

Mr Troy G Modisette, PMHNP
2401 W Belvedere Ave,
Baltimore, MD 21215-5216
(410) 601-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Troy G Modisette
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location2401 W Belvedere Ave, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Troy G Modisette graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1255974549
  • Provider Enumeration Date: 10/20/2019
  • Last Update Date: 10/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335574771
  • Enrollment ID: I20200114000580

Medical Identifiers

Medical identifiers for Mr Troy G Modisette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255974549NPI-NPPES
R148972OtherMDNURSE PRACTITIONER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R148972 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sinai Hospital Of BaltimoreBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sinai Hospital Of Baltimore, Inc0941112346324

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. Mr Troy G Modisette allows following entities to bill medicare on his behalf.
Entity NameSinai Hospital Of Baltimore, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043235666
PECOS PAC ID: 0941112346
Enrollment ID: O20031104000353

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. Mr Troy G Modisette 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
Mr Troy G Modisette, PMHNP
10601 Virginia Ave,
Cockeysville, MD 21030-2315

Ph: (443) 742-9167
Mr Troy G Modisette, PMHNP
2401 W Belvedere Ave,
Baltimore, MD 21215-5216

Ph: (410) 601-1000

Reviews and Comments


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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).

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