Guillermo Modad, MD is a medicare enrolled "Hospitalist" physician in Moscow, Idaho. He went to Loma Linda University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Public Hospital District 1-a Of Whitman County and his current practice location is
700 S Main St, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 882-4511.
Guillermo Modad is licensed to practice in Idaho (license number M-12525) 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 1588982888.
Physician's Profile
| Full Name | Guillermo Modad |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 14 Years |
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| Location | 700 S Main St, Moscow, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Guillermo Modad attended and graduated from Loma Linda University School Of Medicine in 2010
NPI Data:
- NPI Number: 1588982888
- Provider Enumeration Date: 05/11/2010
- Last Update Date: 03/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 0648499327
- Enrollment ID: I20191227001272
Medical Identifiers
Medical identifiers for Guillermo Modad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588982888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | M-12525 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | M-12525 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Public Hospital District 1-a Of Whitman County | 8325934987 | 50 |
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. Guillermo Modad allows following entities to bill medicare on his behalf.
| Entity Name | Public Hospital District #1-a Of Whitman County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366446767
PECOS PAC ID: 8325934987
Enrollment ID: O20040223000506 |
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| Entity Name | Public Hospital District No 3 Of Whitman County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090 |
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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. Guillermo Modad 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 Address | Practice Location Address |
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Guillermo Modad, MD
700 S Main St,
Moscow, ID 83843-3046
Ph: (208) 883-6359 | Guillermo Modad, MD
700 S Main St,
Moscow, ID 83843-3046
Ph: (208) 882-4511 |
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