Dr Tiffany Marie Modica, PSYD in Costa Mesa, CA

Dr Tiffany Marie Modica, PSYD is a medicare enrolled "Counselor - Mental Health" provider in Costa Mesa, California. Her current practice location is 1700 Adams Ave Ste 214, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (714) 957-1973.

Dr Tiffany Marie Modica is licensed to practice in Washington (license number 61475566) 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 1265211239.

Contact Information

	Dr Tiffany Marie Modica, PSYD
	1700 Adams Ave Ste 214, Costa Mesa, CA 92626-4865
	(714) 957-1973
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tiffany Marie Modica
Gender	Female
Speciality	Counselor - Mental Health
Location	1700 Adams Ave Ste 214, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265211239
Provider Enumeration Date: 09/27/2023
Last Update Date: 10/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6305367046
Enrollment ID: I20250310003476

Medical Identifiers

Medical identifiers for Dr Tiffany Marie Modica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265211239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61475566 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	61475566 (Washington)	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 Tiffany Marie Modica allows following entities to bill medicare on her behalf.

Entity Name	Orange County Health Psychologists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174945554 PECOS PAC ID: 4688990260 Enrollment ID: O20150225000931

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 Tiffany Marie Modica 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 Address	Practice Location Address
Dr Tiffany Marie Modica, PSYD 1700 Adams Ave Ste 214, Costa Mesa, CA 92626-4865 Ph: (714) 957-1973	Dr Tiffany Marie Modica, PSYD 1700 Adams Ave Ste 214, Costa Mesa, CA 92626-4865 Ph: (714) 957-1973

Reviews and Comments

Counselor in Costa Mesa, CA

Nicole Riana White, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Baker St E, Suite A, Costa Mesa, CA 92626 Phone: 714-361-6760
Claudio Nunez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2165 Harbor Blvd, Costa Mesa, CA 92627 Phone: 714-912-3091
Kristen Lowen Howerton, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2535 Greenbriar Ln, Costa Mesa, CA 92626 Phone: 949-933-5747
Dalila Perea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Fair Dr, Costa Mesa, CA 92626 Phone: 714-474-6482
Mr. James Terry Callier Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3188 Airway Ave Ste F, Costa Mesa, CA 92626 Phone: 714-689-1380 Fax: 714-689-1381
Amy Cusumano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave, D-1, Costa Mesa, CA 92626 Phone: 714-957-8229
Shaneska Frederique, Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Baker St, Costa Mesa, CA 92626 Phone: 714-361-6760

Dr Tiffany Marie Modica, PSYD - Medicare Counselor in Costa Mesa, CA