Dr Achal Pankaj Modi, MD - Medicare Urology in Waxahachie, TX

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Dr Achal Pankaj Modi, MD is a medicare enrolled "Urology" physician in Waxahachie, Texas. He went to Ohio State University College Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice Healthtexas Provider Network and his current practice location is 2360 N I 35 Ste 310, Waxahachie, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 800-9930.

Dr Achal Pankaj Modi is licensed to practice in Texas (license number N9270) 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 1255540514.

Contact Information

Dr Achal Pankaj Modi, MD
2360 N I 35 Ste 310,
Waxahachie, TX 75165-5336
(469) 800-9930
(469) 800-9940

Map and Direction




Physician's Profile

Full NameDr Achal Pankaj Modi
GenderMale
SpecialityUrology
Experience20 Years
Location2360 N I 35 Ste 310, Waxahachie, Texas
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 Achal Pankaj Modi attended and graduated from Ohio State University College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1255540514
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 02/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4688843949
  • Enrollment ID: I20110803000517

Medical Identifiers

Medical identifiers for Dr Achal Pankaj Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255540514NPI-NPPES
282992103MedicaidTX
282992105MedicaidTX
282992104OtherTXMEDICAID OTHER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology N9270 (Texas)Primary
208800000XUrology 57012170 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542102048

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 Achal Pankaj Modi allows following entities to bill medicare on his behalf.
Entity NameMedical Clinic Of North Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187

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 Achal Pankaj Modi 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 Achal Pankaj Modi, MD
2360 N I 35 Ste 310,
Waxahachie, TX 75165-5336

Ph: (469) 800-9930		Dr Achal Pankaj Modi, MD
2360 N I 35 Ste 310,
Waxahachie, TX 75165-5336

Ph: (469) 800-9930

Reviews and Comments


Urology Doctors in Waxahachie, TX

Dr. Manny Joseph Forkowitz, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Brown St, Waxahachie, TX 75165
Phone: 972-937-4266    
Dr. Francis O Nwafor, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 20 Northgate Dr, Waxahachie, TX 75165
Phone: 214-980-1920    Fax: 214-980-1686

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.