Dr Craig Steven Modzelewski, DMD is a medicare enrolled "Dentist - General Practice" provider in Allendale, South Carolina. His current practice location is
522 Main St N, Allendale, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 584-2105.
Dr Craig Steven Modzelewski is licensed to practice in South Carolina (license number 3892) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033218607.
Healthcare Provider's Profile
| Full Name | Dr Craig Steven Modzelewski |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 522 Main St N, Allendale, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033218607
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 01/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 4486959541
- Enrollment ID: I20160226001530
Medical Identifiers
Medical identifiers for Dr Craig Steven Modzelewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033218607 | NPI | - | NPPES |
| ZX3892 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3892 (South Carolina) | Primary |
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 Craig Steven Modzelewski 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 Craig Steven Modzelewski, DMD
522 Main St N,
Allendale, SC 29810-3720
Ph: (803) 584-2105 | Dr Craig Steven Modzelewski, DMD
522 Main St N,
Allendale, SC 29810-3720
Ph: (803) 584-2105 |
Reviews and Comments