Poonam Modha, MD in Warwick, RI - Medicare Psychiatry & Neurology

Poonam Modha, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Warwick, Rhode Island. Her current practice location is 455 Toll Gate Rd, Psychiatry Liaison Clinic, Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 737-7010.

Poonam Modha is licensed to practice in Rhode Island (license number MD12839) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679611842.

Contact Information

	Poonam Modha, MD
	455 Toll Gate Rd, Psychiatry Liaison Clinic, Warwick, RI 02886
	(401) 737-7010
	Not Available

Map and Direction

Physician's Profile

Full Name	Poonam Modha
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	455 Toll Gate Rd, Warwick, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679611842
Provider Enumeration Date: 02/01/2007
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1153467444
Enrollment ID: I20220209000402

Medical Identifiers

Medical identifiers for Poonam Modha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679611842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD12839 (Rhode Island)	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. Poonam Modha allows following entities to bill medicare on her behalf.

Entity Name	The Mclean Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228

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. Poonam Modha 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
Poonam Modha, MD 455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886-2759 Ph: (401) 273-0641	Poonam Modha, MD 455 Toll Gate Rd, Psychiatry Liaison Clinic, Warwick, RI 02886 Ph: (401) 737-7010

Reviews and Comments

Psychiatry & Neurology Doctors in Warwick, RI

Warren Andrew Ong, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2756 Post Rd, Warwick, RI 02886 Phone: 401-691-6000 Fax: 401-738-7718
Juan Carlos Canton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 390 Toll Gate Road, Warwick, RI 02886 Phone: 401-737-0005 Fax: 401-737-9880
Neil Labove, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 176 Tollgate Road, Suite 202, Warwick, RI 02886 Phone: 401-738-2325
Dr. Ethan H Kisch, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Lambert Lind Hwy, 120-100, Warwick, RI 02886 Phone: 401-681-4274 Fax: 401-681-4285
Marjorie Smith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 Fax: 401-736-4546
Dr. Sandhya M Patel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2756 Post Rd, Warwick, RI 02886 Phone: 401-738-4229
Maurizio Zambenedetti, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 33 College Hill Rd, 29c, Warwick, RI 02886 Phone: 401-822-4673 Fax: 401-822-4676

Poonam Modha, MD - Medicare Psychiatry & Neurology in Warwick, RI