Dr Erik Joseph Modlo, MD is a medicare enrolled "Internal Medicine" physician in Lodi, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
225 Elyria St, Lodi, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 948-9939.
Dr Erik Joseph Modlo is licensed to practice in Ohio (license number 35.097905) 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 1164503082.
Physician's Profile
| Full Name | Dr Erik Joseph Modlo |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 21 Years |
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| Location | 225 Elyria St, Lodi, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Erik Joseph Modlo attended and graduated from Northeastern Ohio University College Of Medicine in 2003
NPI Data:
- NPI Number: 1164503082
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 01/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769663376
- Enrollment ID: I20110929000703
Medical Identifiers
Medical identifiers for Dr Erik Joseph Modlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164503082 | NPI | - | NPPES |
| 0053753 | Medicaid | OH | |
| 1003849910 | Other | OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # |
| 2396081 | Other | OH | LODI COMMUNITY HOSPITAL MEDICAID GROUP # |
| 3613031 | Other | OH | LODI COMMUNITY HOSPITAL MEDICARE # |
| 1801807870 | Other | OH | LODI COMMUNITY HOSPITAL TYPE 2 NPI # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.097905 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35.097905 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35.097905 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cleveland Clinic Foundation | 1850203555 | 5690 |
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 Erik Joseph Modlo allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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 Erik Joseph Modlo 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 Erik Joseph Modlo, MD
225 Elyria St,
Lodi, OH 44254-1031
Ph: (330) 948-9939 | Dr Erik Joseph Modlo, MD
225 Elyria St,
Lodi, OH 44254-1031
Ph: (330) 948-9939 |
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