Dr Paul Modesto, PHD - Medicare Psychologist in Boca Raton, FL

Dr Paul Modesto, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boca Raton, Florida. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 22456 Ensenada Way, Boca Raton, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 213-8865.

Dr Paul Modesto is licensed to practice in Florida (license number PY2368) 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 1629113568.

Contact Information

Dr Paul Modesto, PHD
22456 Ensenada Way,
Boca Raton, FL 33433-4627
(561) 213-8865
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul Modesto
GenderMale
SpecialityClinical Psychologist
Experience47 Years
Location22456 Ensenada Way, Boca Raton, Florida
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:
  • Dr Paul Modesto graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1629113568
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 07/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183897432
  • Enrollment ID: I20111101000493

Medical Identifiers

Medical identifiers for Dr Paul Modesto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629113568NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY2368 (Florida)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. Dr Paul Modesto allows following entities to bill medicare on his behalf.
Entity NamePaul Modesto, Ph.d.,p.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780683409
PECOS PAC ID: 8426221763
Enrollment ID: O20111101000382

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. Dr Paul Modesto 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
Dr Paul Modesto, PHD
5301 N Federal Hwy, Suite 270,
Boca Raton, FL 33487-4910

Ph: (561) 241-6628
Dr Paul Modesto, PHD
22456 Ensenada Way,
Boca Raton, FL 33433-4627

Ph: (561) 213-8865

Reviews and Comments


Psychologist in Boca Raton, FL

Dr. Bevlyn Sagon, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1700 N. Dixie Hwy, Suite 150, Boca Raton, FL 33432
Phone: 561-447-1167    Fax: 561-447-1164
Dr. Andrea S. Corn, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 150 E. Palmetto Park Rd., 8th Floor Executive Suites, Boca Raton, FL 33432
Phone: 954-942-3344    Fax: 954-943-9300
Dr. Christopher J Fichera, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 7100 West Camino Real, Suite # 123, Boca Raton, FL 33433
Phone: 561-395-0243    Fax: 561-391-5054
Dr. Christina Remek, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 123 Nw 13th St Ste 222, Boca Raton, FL 33432
Phone: 561-206-4601    
Dr. Jodi Berland, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2499 Glades Rd, Suite 203, Boca Raton, FL 33431
Phone: 561-392-7779    Fax: 561-447-9234
Dr. Alexandra Licata, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2950 Olivewood Ter Apt O210, Boca Raton, FL 33431
Phone: 561-350-6576    
Dr. Krista Lynn Valz, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6699 N Federal Hwy, Suite 104, Boca Raton, FL 33487
Phone: 954-805-4261    

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.