Dr Fagunkumar Modi, MD - Medicare Internal Medicine in Crystal River, FL

Dr Fagunkumar Modi, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Crystal River, Florida. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Manoj B Shukla Md Pa and his current practice location is 5616 W Norvell Bryant Hwy, Crystal River, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 795-1999.

Dr Fagunkumar Modi is licensed to practice in Florida (license number ME120896) 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 1619117421.

Contact Information

Dr Fagunkumar Modi, MD
5616 W Norvell Bryant Hwy,
Crystal River, FL 34429-7572
(352) 795-1999
(352) 795-2269

Map and Direction




Physician's Profile

Full NameDr Fagunkumar Modi
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location5616 W Norvell Bryant Hwy, Crystal River, Florida
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 Fagunkumar Modi graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1619117421
  • Provider Enumeration Date: 03/06/2009
  • Last Update Date: 12/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9335391028
  • Enrollment ID: I20150806011203

Medical Identifiers

Medical identifiers for Dr Fagunkumar Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619117421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease ME120896 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Citrus Memorial HospitalInverness, FLHospital
Bayfront Health Seven RiversCrystal river, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Manoj B Shukla Md Pa24664846215

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 Fagunkumar Modi allows following entities to bill medicare on his behalf.
Entity NameManoj B Shukla Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750318192
PECOS PAC ID: 2466484621
Enrollment ID: O20050908000556

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 Fagunkumar 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 Fagunkumar Modi, MD
5616 W Norvell Bryant Hwy,
Crystal River, FL 34429-7572

Ph: (352) 795-1999
Dr Fagunkumar Modi, MD
5616 W Norvell Bryant Hwy,
Crystal River, FL 34429-7572

Ph: (352) 795-1999

Reviews and Comments


Internal Medicine Doctors in Crystal River, FL

Dr. Purnachander R Bikkasani, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-563-2450    Fax: 352-563-2512
Dr. Lakshmipathi R Reddi, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 6410 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-563-2450    Fax: 352-563-2512
Dr. Angela Acevedo, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 6202 W Corporate Oaks Dr, Crystal River, FL 34429
Phone: 352-795-9697    Fax: 352-795-9698
Dr. Craig Warren Englund, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 770 Se 5th Ter, Crystal River, FL 34429
Phone: 352-795-6674    
Dr. Sunoj Abraham, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5616 W Norvell Bryant Hwy, Crystal River, FL 34429
Phone: 352-795-1999    Fax: 352-795-2269
Srinivas Sanka, DO
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 730 Se 5th Terrace, Crystal River, FL 34429
Phone: 352-699-2040    Fax: 352-699-2042
Dr. Padma Venuaopala Reddy, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 7415 W Gulf To Lake Hwy, Crystal River, FL 34429
Phone: 352-795-1415    Fax: 352-795-6801

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.