Ann Kathryn Modzeleski, LPC - Medicare in Grand Rapids, MI

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Ann Kathryn Modzeleski, LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 300 68th St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 258-7467.

Ann Kathryn Modzeleski is licensed to practice in Michigan (license number 6401011086) 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 1457504847.

Contact Information

Ann Kathryn Modzeleski, LPC
300 68th St Se,
Grand Rapids, MI 49548-6927
(616) 258-7467
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAnn Kathryn Modzeleski
GenderFemale
SpecialityCounselor - Professional
Location300 68th St Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457504847
  • Provider Enumeration Date: 10/29/2008
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850741760
  • Enrollment ID: I20231219000625

Medical Identifiers

Medical identifiers for Ann Kathryn Modzeleski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457504847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301014035 (Michigan)Secondary
101YP2500XCounselor - Professional 6401011086 (Michigan)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. Ann Kathryn Modzeleski allows following entities to bill medicare on her behalf.
Entity NamePine Rest Christian Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780695411
PECOS PAC ID: 4981506508
Enrollment ID: O20040213000149

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. Ann Kathryn Modzeleski 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
Ann Kathryn Modzeleski, LPC
300 68th St Se,
Grand Rapids, MI 49548-6927

Ph: (616) 455-5000		Ann Kathryn Modzeleski, LPC
300 68th St Se,
Grand Rapids, MI 49548-6927

Ph: (616) 258-7467

Reviews and Comments



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.