Andrew Modic, MD in Ridgecrest, CA - Medicare Pediatric Medicine

Andrew Modic, MD is a medicare enrolled "Internal Medicine" physician in Ridgecrest, California. He went to University Of Connecticut School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Ridgecrest Regional Hospital, Ridgecrest Regional Hospital and his current practice location is 1111 N China Lake Blvd, Ridgecrest, California. You can reach out to his office (for appointments etc.) via phone at (760) 499-3855.

Andrew Modic is licensed to practice in California (license number A155740) 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 1063831972.

Contact Information

	Andrew Modic, MD
	1111 N China Lake Blvd, Ridgecrest, CA 93555-3131
	(760) 499-3855
	(760) 499-3870

Map and Direction

Physician's Profile

Full Name	Andrew Modic
Gender	Male
Speciality	Pediatric Medicine
Experience	10 Years
Location	1111 N China Lake Blvd, Ridgecrest, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Modic attended and graduated from University Of Connecticut School Of Medicine in 2014

NPI Data:

NPI Number: 1063831972
Provider Enumeration Date: 04/08/2014
Last Update Date: 02/12/2019

Medicare PECOS Information:

PECOS PAC ID: 4688993322
Enrollment ID: I20190306000897

Medical Identifiers

Medical identifiers for Andrew Modic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063831972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD.34762 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	A155740 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ridgecrest Regional Hospital	Ridgecrest, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ridgecrest Regional Hospital	9739099896	78
Ridgecrest Regional Hospital	9739099896	78

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. Andrew Modic allows following entities to bill medicare on his behalf.

Entity Name	Ridgecrest Regional Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159

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. Andrew Modic 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
Andrew Modic, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 499-3855	Andrew Modic, MD 1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 Ph: (760) 499-3855

Reviews and Comments

Internal Medicine Doctors in Ridgecrest, CA

Dr. Kevin Sean Flanigan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870
Victoria Schauf, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043
Dr. Vernon Harvey Shull, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128
Everard Hudson Hughes Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3360 Fax: 760-499-3361
Mrs. Samantha Ann Mongar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Suite 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870
Gawtham Gutta, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551

Andrew Modic, MD - Medicare Pediatric Medicine in Ridgecrest, CA