| Anand Modadugu, MD | |
|
2416 Regency Road, Lexington, KY 40503-2954 | |
| (859) 278-1316 | |
| (859) 276-3847 |
| Full Name | Anand Modadugu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 2416 Regency Road, Lexington, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669674206 | NPI | - | NPPES |
| 7100400850 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48798 (Kentucky) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 48798 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clark Regional Medical Center | Winchester, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clark Regional Physician Practices Llc | 9739337569 | 38 |
| Entity Name | Jackson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992044747 PECOS PAC ID: 0345134318 Enrollment ID: O20040211000004 |
| Entity Name | Jackson Physician Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841234671 PECOS PAC ID: 9436149275 Enrollment ID: O20040514000238 |
| Entity Name | Clark Regional Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780356253 PECOS PAC ID: 9739337569 Enrollment ID: O20120919000575 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164947099 PECOS PAC ID: 0840107835 Enrollment ID: O20171114003017 |
| Mailing Address | Practice Location Address |
|---|---|
| Anand Modadugu, MD 280 Pasadena Dr, Lexington, KY 40503-2925 Ph: (859) 278-1316 | Anand Modadugu, MD 2416 Regency Road, Lexington, KY 40503-2954 Ph: (859) 278-1316 |
Frederick H Coates Jr., M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2416 Regency Rd, Ste. 300, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Daniel Bruce Keck Jr., M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Center Drive, Lexington, KY 40502 Phone: 859-233-4511 | |
Dr. Lauren K Larson, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Dr. Peter D Wright, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Ste 30, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Mrs. Terra Brooke Wadley, APRN Pain Medicine Medicare: Medicare Enrolled Practice Location: 828 Lane Allen Rd Ste 219, Lexington, KY 40504 Phone: 443-383-9300 Fax: 855-866-8710 | |
Mr. Manoochehr Mazloomdoost, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 Phone: 859-275-4878 Fax: 859-276-5400 | |
Katherine E. Ballard, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2416 Regency Road, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-260-2470 |