John P Modrzynski, MD in Wautoma, WI - Medicare Family Medicine

John P Modrzynski, MD is a medicare enrolled "Family Medicine" physician in Wautoma, Wisconsin. His current practice location is N2934 State Road 22, Wautoma, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 787-4613.

John P Modrzynski is licensed to practice in Wisconsin (license number 23162) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962475434.

Contact Information

	John P Modrzynski, MD
	N2934 State Road 22, Wautoma, WI 54982-5267
	(920) 787-4613
	(920) 787-5433

Map and Direction

Physician's Profile

Full Name	John P Modrzynski
Gender	Male
Speciality	Family Medicine
Location	N2934 State Road 22, Wautoma, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962475434
Provider Enumeration Date: 02/07/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5597834424
Enrollment ID: I20080519000635

Medical Identifiers

Medical identifiers for John P Modrzynski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962475434	NPI	-	NPPES
32833700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	23162 (Wisconsin)	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. John P Modrzynski allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. John P Modrzynski 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
John P Modrzynski, MD 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 787-4613	John P Modrzynski, MD N2934 State Road 22, Wautoma, WI 54982-5267 Ph: (920) 787-4613

Reviews and Comments

Family Medicine Doctors in Wautoma, WI

Juan Sebastian Preciado-riestra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-4737
Dr. William Russell Pinkonsly, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N2934 Highway 22, Wautoma, WI 54982 Phone: 920-787-4613
Dr. Gregrey G Hiltgen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900
David N Crowther, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900
Dr. Fozia Sarwar Alvi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900
Dr. Thomas G Chulski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 Fax: 920-787-6903
Renee Murphy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N2934 Hwy 22 North, Wautoma, WI 54982 Phone: 920-787-4613 Fax: 920-787-5433

John P Modrzynski, MD - Medicare Family Medicine in Wautoma, WI