Paul Modelewski, DO - Medicare Emergency Medicine in Mechanicsburg, PA

Paul Modelewski, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Mechanicsburg, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Aria Health Physician Services, Pinnacle Health Emergency Department Services, Llc, Pinnacle Health Medical Services and his current practice location is 1995 Technology Pkwy, Mechanicsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 231-8772.

Paul Modelewski is licensed to practice in Pennsylvania (license number OS018492) 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 1033556881.

Contact Information

Paul Modelewski, DO
1995 Technology Pkwy,
Mechanicsburg, PA 17050-8522
(717) 231-8772
Not Available

Map and Direction




Physician's Profile

Full NamePaul Modelewski
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location1995 Technology Pkwy, Mechanicsburg, Pennsylvania
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:
  • Paul Modelewski attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2013
  NPI Data:
  • NPI Number: 1033556881
  • Provider Enumeration Date: 06/03/2013
  • Last Update Date: 02/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133415490
  • Enrollment ID: I20180815001379

Medical Identifiers

Medical identifiers for Paul Modelewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033556881NPI-NPPES
103438507MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS018492 (Pennsylvania)Secondary
207R00000XInternal Medicine OS018492 (Pennsylvania)Secondary
207RC0200XInternal Medicine - Critical Care Medicine OS018492 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pinnacle Health HospitalsHarrisburg, PAHospital
Upmc MemorialYork, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aria Health Physician Services3577467018418
Pinnacle Health Emergency Department Services, Llc014312470188
Pinnacle Health Medical Services7618960493942

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. Paul Modelewski allows following entities to bill medicare on his behalf.
Entity NamePinnacle Health Emergency Department Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693404
PECOS PAC ID: 0143124701
Enrollment ID: O20031125000218
Entity NameAria Health Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750949806
PECOS PAC ID: 3577467018
Enrollment ID: O20040224000045
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NameJefferson Acute Care Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730571324
PECOS PAC ID: 7810215613
Enrollment ID: O20150407001063

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. Paul Modelewski 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
Paul Modelewski, DO
1995 Technology Pkwy,
Mechanicsburg, PA 17050-8522

Ph: () -
Paul Modelewski, DO
1995 Technology Pkwy,
Mechanicsburg, PA 17050-8522

Ph: (717) 231-8772

Reviews and Comments


Internal Medicine Doctors in Mechanicsburg, PA

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Reinaldo Garcia, MD
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Dr. Soni Srivastav, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2005 Technology Pkwy, Suite 440, Mechanicsburg, PA 17050
Phone: 717-791-2540    Fax: 717-791-2549

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.