Mitul B Modi, MD - Medicare Dermatology in Maywood, IL

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Mitul B Modi, MD is a medicare enrolled "Dermatology" physician in Maywood, Illinois. His current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (248) 839-7383.

Mitul B Modi is licensed to practice in Illinois (license number 036164764) 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 1649794876.

Contact Information

Mitul B Modi, MD
2160 S 1st Ave,
Maywood, IL 60153-3328
(248) 839-7383
Not Available

Map and Direction




Physician's Profile

Full NameMitul B Modi
GenderMale
SpecialityDermatology
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649794876
  • Provider Enumeration Date: 07/31/2017
  • Last Update Date: 01/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921487869
  • Enrollment ID: I20230829001955

Medical Identifiers

Medical identifiers for Mitul B Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649794876NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology 125079219 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207N00000XDermatology 036164764 (Illinois)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. Mitul B Modi allows following entities to bill medicare on his behalf.
Entity NameRush University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameCentral Illinois Pathology, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114970761
PECOS PAC ID: 9133160450
Enrollment ID: O20050517000934

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. Mitul B Modi 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
Mitul B Modi, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: () -		Mitul B Modi, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (248) 839-7383

Reviews and Comments


Dermatology Doctors in Maywood, IL

Zisansha Zahirsha,
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Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-4533    Fax: 708-216-5446
Mathew Joseph,
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Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Lauren Moy, M.D.
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Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
James Swan, MD
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Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153
Phone: 708-485-1020    Fax: 708-485-1173
Rachit Gupta, MD
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Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Dr. Jenna Janiga Lullo, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Dr. Farinoosh Dadrass, MD
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Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-4962    

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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