Sejal Priyalkumar Modi, - Medicare Physical Therapist in Edison, NJ

Sejal Priyalkumar Modi, is a medicare enrolled "Physical Therapist" provider in Edison, New Jersey. Her current practice location is 323 Horizon Dr, Edison, New Jersey. You can reach out to her office (for appointments etc.) via phone at (405) 778-0474.

Sejal Priyalkumar Modi is licensed to practice in New York (license number 041718-1) 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 1669981643.

Contact Information

Sejal Priyalkumar Modi,
323 Horizon Dr,
Edison, NJ 08817-5750
(405) 778-0474
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSejal Priyalkumar Modi
GenderFemale
SpecialityPhysical Therapist
Location323 Horizon Dr, 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: 1669981643
  • Provider Enumeration Date: 09/22/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6608223474
  • Enrollment ID: I20231116000247

Medical Identifiers

Medical identifiers for Sejal Priyalkumar Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669981643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 041718-1 (New York)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. Sejal Priyalkumar Modi allows following entities to bill medicare on her behalf.
Provider NamePrime Care Physical Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487263109
PECOS PAC ID: 7214356443
Enrollment ID: O20201007001849

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. Sejal Priyalkumar 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
Sejal Priyalkumar Modi,
323 Horizon Dr,
Edison, NJ 08817-5750

Ph: (405) 778-0474
Sejal Priyalkumar Modi,
323 Horizon Dr,
Edison, NJ 08817-5750

Ph: (405) 778-0474

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).

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.