Dr Randolph Eugene Modlin, MD - Medicare Internal Medicine in White Sulphur Springs, WV

Dr Randolph Eugene Modlin, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in White Sulphur Springs, West Virginia. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Greenbrier Clinic Inc and his current practice location is 320 W Main St, White Sulphur Springs, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 536-4870.

Dr Randolph Eugene Modlin is licensed to practice in West Virginia (license number 25813) 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 1942259114.

Contact Information

Dr Randolph Eugene Modlin, MD
320 W Main St,
White Sulphur Springs, WV 24986-2414
(304) 536-4870
Not Available

Map and Direction




Physician's Profile

Full NameDr Randolph Eugene Modlin
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location320 W Main St, White Sulphur Springs, West Virginia
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 Randolph Eugene Modlin attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1985
  NPI Data:
  • NPI Number: 1942259114
  • Provider Enumeration Date: 05/08/2006
  • Last Update Date: 11/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486873395
  • Enrollment ID: I20140908001951

Medical Identifiers

Medical identifiers for Dr Randolph Eugene Modlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942259114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 30837 (Georgia)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 25813 (West Virginia)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 0101255193 (Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greenbrier Clinic Inc034529891510

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 Randolph Eugene Modlin allows following entities to bill medicare on his behalf.
Entity NameGreenbrier Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043258783
PECOS PAC ID: 0345298915
Enrollment ID: O20050114000022
Entity NameGreenbriercare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629266432
PECOS PAC ID: 3678650470
Enrollment ID: O20080403000254

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 Randolph Eugene Modlin 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 Randolph Eugene Modlin, MD
320 W Main St,
White Sulphur Springs, WV 24986-2414

Ph: (304) 536-4870
Dr Randolph Eugene Modlin, MD
320 W Main St,
White Sulphur Springs, WV 24986-2414

Ph: (304) 536-4870

Reviews and Comments


Internal Medicine Doctors in White Sulphur Springs, WV

Thomas O Dotson, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 320 W Main St, White Sulphur Springs, WV 24986
Phone: 304-536-4870    Fax: 304-536-8010
George R Thompson, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 320 W Main St, White Sulphur Springs, WV 24986
Phone: 304-536-4870    Fax: 304-536-8010
Douglas L Jones, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 320 W Main St, White Sulphur Springs, WV 24986
Phone: 304-536-4870    Fax: 304-536-8010
William Norman Cunningham, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 320 W Main St, White Sulphur Springs, WV 24986
Phone: 304-536-4870    Fax: 304-536-1325

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.