Dr Michael Modica, MD - Medicare Diagnostic Radiology in Boise, ID

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Dr Michael Modica, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2007 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Arizona Diagnostic Radiology Group Llc, Gem State Radiology Llp, Intermountain Medical Imaging Llc, Maryland Imaging Network Pc, Gem State Radiology Llp, Intermountain Medical Imaging Llc, Arizona Diagnostic Radiology Group Llc, Beverly Radiology Medical Group Iii, Desert Advanced Imaging Medical Center and his current practice location is 877 W Main St, Suite 603, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-2161.

Dr Michael Modica is licensed to practice in Massachusetts (license number 251042) 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 1295926061.

Contact Information

Dr Michael Modica, MD
877 W Main St, Suite 603,
Boise, ID 83702-5883
(208) 367-2161
(208) 367-2989

Map and Direction




Physician's Profile

Full NameDr Michael Modica
GenderMale
SpecialityDiagnostic Radiology
Experience17 Years
Location877 W Main St, Boise, Idaho
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 Michael Modica attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2007
  NPI Data:
  • NPI Number: 1295926061
  • Provider Enumeration Date: 08/07/2007
  • Last Update Date: 04/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5890941652
  • Enrollment ID: I20130816000497

Medical Identifiers

Medical identifiers for Dr Michael Modica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295926061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 251042 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital
Treasure Valley HospitalBoise, IDHospital
West Valley Medical CenterCaldwell, IDHospital
Saint Alphonsus Medical Center - Ontario, IncOntario, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Diagnostic Radiology Group Llc165879685960
Gem State Radiology Llp933504483338
Intermountain Medical Imaging Llc751787091833
Maryland Imaging Network Pc610325930443
Gem State Radiology Llp933504483338
Intermountain Medical Imaging Llc751787091833
Arizona Diagnostic Radiology Group Llc165879685960
Beverly Radiology Medical Group Iii3476466376242
Desert Advanced Imaging Medical Center6406749613133

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 Michael Modica allows following entities to bill medicare on his behalf.
Entity NameGem State Radiology Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083661508
PECOS PAC ID: 9335044833
Enrollment ID: O20031205000623
Entity NameIntermountain Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669423679
PECOS PAC ID: 7517870918
Enrollment ID: O20090130000423
Entity NameArizona Diagnostic Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336757699
PECOS PAC ID: 1658796859
Enrollment ID: O20230709000131
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376667022
PECOS PAC ID: 7911099346
Enrollment ID: O20231125000336
Entity NameMaryland Imaging Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487296471
PECOS PAC ID: 6103259304
Enrollment ID: O20231228000865
Entity NameMedical Scanning Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659348092
PECOS PAC ID: 9032005376
Enrollment ID: O20240105000899
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20240105004204
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730123472
PECOS PAC ID: 9830096585
Enrollment ID: O20240226000354

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 Michael 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 Michael Modica, MD
877 W Main St, Suite 603,
Boise, ID 83702-5883

Ph: (208) 367-2161		Dr Michael Modica, MD
877 W Main St, Suite 603,
Boise, ID 83702-5883

Ph: (208) 367-2161

Reviews and Comments


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Brian Lane Mcmahan, M.D.
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Phone: 208-367-2161    

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).

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