| Dr Matthew Modansky, MD | |
|
1029 Atlantic Blvd, Atlantic Beach, FL 32233-3313 | |
| (904) 246-7520 | |
| (904) 390-7448 |
| Full Name | Dr Matthew Modansky |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 1029 Atlantic Blvd, Atlantic Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619048386 | NPI | - | NPPES |
| 266857200 | Medicaid | FL | |
| P01646451 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME85663 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Home Health Care | Jacksonville, FL | Home health agency |
| Florida First Care Inc | Orange park, FL | Home health agency |
| Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 454 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Modansky, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Dr Matthew Modansky, MD 1029 Atlantic Blvd, Atlantic Beach, FL 32233-3313 Ph: (904) 246-7520 |
Dr. Julia Anna Lyons, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1029 Atlantic Blvd, Atlantic Beach, FL 32233 Phone: 904-246-7520 |