Dr Ashley Dora Modica, MD - Medicare Plastic And Reconstructive Surgery in Smithtown, NY

  1. Home
  2. Surgery
  3. NY
  4. Smithtown
Dr Ashley Dora Modica, MD is a medicare enrolled "Surgery" physician in Smithtown, New York. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice St Charles Hospital Corp, Long Island Laparoscopic Surgery Pllc and her current practice location is 19 Columbus Ave, Smithtown, New York. You can reach out to her office (for appointments etc.) via phone at (631) 255-6261.

Dr Ashley Dora Modica is licensed to practice in New York (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588000897.

Contact Information

Dr Ashley Dora Modica, MD
19 Columbus Ave,
Smithtown, NY 11787-4624
(631) 255-6261
Not Available

Map and Direction




Physician's Profile

Full NameDr Ashley Dora Modica
GenderFemale
SpecialityPlastic And Reconstructive Surgery
Experience13 Years
Location19 Columbus Ave, Smithtown, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ashley Dora Modica graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1588000897
  • Provider Enumeration Date: 05/14/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608245857
  • Enrollment ID: I20221209000155

Medical Identifiers

Medical identifiers for Dr Ashley Dora Modica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588000897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Charles Hospital Corp610373305042
Long Island Laparoscopic Surgery Pllc98305231175

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 Ashley Dora Modica allows following entities to bill medicare on her behalf.
Entity NameSt Charles Hospital Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497765630
PECOS PAC ID: 6103733050
Enrollment ID: O20050205000015
Entity NameLong Island Laparoscopic Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881997724
PECOS PAC ID: 9830523117
Enrollment ID: O20191219000153

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 Ashley Dora 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 AddressPractice Location Address
Dr Ashley Dora Modica, MD
19 Columbus Ave,
Smithtown, NY 11787-4624

Ph: () -		Dr Ashley Dora Modica, MD
19 Columbus Ave,
Smithtown, NY 11787-4624

Ph: (631) 255-6261

Reviews and Comments


Surgery Doctors in Smithtown, NY

Dr. Jana Lori Deitch, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 48 Route 25a Ste 301, Smithtown, NY 11787
Phone: 631-862-3171    
Dr. Rashid Javed Khan, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 48 Route 25a, #102, Smithtown, NY 11787
Phone: 631-862-3635    
Dr. Nabil Khorshid Kiridly, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 267 E Main St, Bldg- B, Smithtown, NY 11787
Phone: 631-366-2220    Fax: 631-366-1018
John Robinson, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 48 Route 25a Ste 102, Smithtown, NY 11787
Phone: 631-360-1720    
Dr. Sultan Mohiuddin, M.D
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 300 E Main St, Smithtown, NY 11787
Phone: 631-979-0212    Fax: 631-979-0237

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.