Sushil S Mody, MD - Medicare Pediatrics in E Stroudsburg, PA

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Sushil S Mody, MD is a medicare enrolled "Pediatrics" physician in E Stroudsburg, Pennsylvania. His current practice location is 175 E Brown St, Suite 108, E Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 476-3585.

Sushil S Mody is licensed to practice in Pennsylvania (license number MD422414) 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 1164481891.

Contact Information

Sushil S Mody, MD
175 E Brown St, Suite 108,
E Stroudsburg, PA 18301-3098
(570) 476-3585
(570) 421-9014

Map and Direction




Physician's Profile

Full NameSushil S Mody
GenderMale
SpecialityPediatrics
Location175 E Brown St, E Stroudsburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164481891
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 02/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4486638822
  • Enrollment ID: I20040615000342

Medical Identifiers

Medical identifiers for Sushil S Mody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164481891NPI-NPPES
1009422450002MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD422414 (Pennsylvania)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. Sushil S Mody allows following entities to bill medicare on his behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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. Sushil S Mody 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
Sushil S Mody, MD
5545 Bridle Rd,
Stroudsburg, PA 18360-9197

Ph: (570) 793-3254		Sushil S Mody, MD
175 E Brown St, Suite 108,
E Stroudsburg, PA 18301-3098

Ph: (570) 476-3585

Reviews and Comments


Pediatrics Doctors in E Stroudsburg, PA

Dr. Yoon-taek Chun, M.D.,FAAP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 263 Prospect St, E Stroudsburg, PA 18301
Phone: 570-421-3575    
Michael F. Davis, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Brown St, Pocono Kids Pediatrics, E Stroudsburg, PA 18301
Phone: 570-476-3585    Fax: 570-421-9014

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.