Dr Marsha E Modery, MD - Medicare Internal Medicine in Clarks Summit, PA

Dr Marsha E Modery, MD is a medicare enrolled "Internal Medicine" physician in Clarks Summit, Pennsylvania. Her current practice location is 1451 Hillside Dr, Newton Hall, Clarks Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 587-7254.

Dr Marsha E Modery is licensed to practice in Pennsylvania (license number MD039611E) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700967627.

Contact Information

Dr Marsha E Modery, MD
1451 Hillside Dr, Newton Hall,
Clarks Summit, PA 18411-9504
(570) 587-7254
(570) 587-7270

Map and Direction




Physician's Profile

Full NameDr Marsha E Modery
GenderFemale
SpecialityInternal Medicine
Location1451 Hillside Dr, Clarks Summit, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700967627
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 11/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446257638
  • Enrollment ID: I20061101000073

Medical Identifiers

Medical identifiers for Dr Marsha E Modery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700967627NPI-NPPES
1003085180065MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD039611E (Pennsylvania)Primary

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 Marsha E Modery allows following entities to bill medicare on her behalf.
Entity NamePennsylvania Department Of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447233424
PECOS PAC ID: 0547168064
Enrollment ID: O20050425000477

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 Marsha E Modery 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 Marsha E Modery, MD
1451 Hillside Dr, Newton Hall,
Clarks Summit, PA 18411-9504

Ph: (570) 587-7254
Dr Marsha E Modery, MD
1451 Hillside Dr, Newton Hall,
Clarks Summit, PA 18411-9504

Ph: (570) 587-7254

Reviews and Comments


Internal Medicine Doctors in Clarks Summit, PA

Dr. Sun-tak Han, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 Layton Rd, Clarks Summit, PA 18411
Phone: 570-586-3982    Fax: 570-585-2896
Dr. Michael H Gordon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 N State St, Clarks Summit, PA 18411
Phone: 570-586-1134    Fax: 570-586-1136
Dr. John Lisiak Jr., D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 611 Morgan Hwy, Clarks Summit, PA 18411
Phone: 570-585-6700    Fax: 570-585-6714
Donald A Kachline, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Hillside Dr, Newton Hall, Medical Office, Clarks Summit, PA 18411
Phone: 570-587-7254    Fax: 570-587-7270
Haitham Abughnia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 N State St, Clarks Summit, PA 18411
Phone: 570-587-7817    Fax: 570-587-7815
Dr. Sheela S Prahalad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 319 N State St, Clarks Summit, PA 18411
Phone: 570-586-6087    Fax: 570-586-6072
Mr. Charles Richard Druffner, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1851 Newton Ransom Blvd, Apt#2, Clarks Summit, PA 18411
Phone: 570-587-4344    

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.