| Mrinalini Modak, MD | |
|
800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018 | |
| (405) 271-6173 | |
| Not Available |
| Full Name | Mrinalini Modak |
|---|---|
| Gender | Female |
| Speciality | Pulmonary Disease |
| Experience | 10 Years |
| Location | 800 Stanton L Young Blvd # 8425, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790148633 | NPI | - | NPPES |
| 62568 | Other | CT | CT MEDICAL LICENSE |
| 38134 | Other | OK | OK MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrinalini Modak, MD 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018 Ph: (405) 271-6173 | Mrinalini Modak, MD 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104-5018 Ph: (405) 271-6173 |
Patrick Bronson Reeves, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448 |
Dr. Jake Lee Evans, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963 |
Dr. Philip Barton Miner, Jr., M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296 |
Gary Lee Worcester, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112 Phone: 405-947-3341 |
Fazal Akbar Ali, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4221 S Western Ave, Suite 5020, Oklahoma City, OK 73109 Phone: 405-644-5428 Fax: 405-644-5429 |
Vijay K Kolli, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103 Phone: 405-594-5848 Fax: 054-594-5847 |
Alan Stuart Bock, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5401 N Portland, Suite 220, Oklahoma City, OK 73112 Phone: 405-604-4321 Fax: 405-604-4331 |