Khushbu Modi, in Canton, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Khushbu Modi, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Georgia. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is 276 Harmony Lake Dr, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 488-5590.

Khushbu Modi is licensed to practice in Georgia (license number RN202188) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083166383.

Contact Information

	Khushbu Modi,
	276 Harmony Lake Dr, Canton, GA 30115-4781
	(404) 488-5590
	Not Available

Map and Direction

Provider's Profile

Full Name	Khushbu Modi
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	276 Harmony Lake Dr, Canton, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khushbu Modi graduated from nursing school in 2016

NPI Data:

NPI Number: 1083166383
Provider Enumeration Date: 11/03/2016
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 5698056620
Enrollment ID: I20170104002413

Medical Identifiers

Medical identifiers for Khushbu Modi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083166383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN202188 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar North Fulton Hospital	Roswell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mak Anesthesia Holdings, Llc	4284917204	169

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. Khushbu Modi allows following entities to bill medicare on her behalf.

Entity Name	Mak Anesthesia Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563

Entity Name	Mak Anesthesia Northside Affiliates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499

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. Khushbu 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 Address	Practice Location Address
Khushbu Modi, 276 Harmony Lake Dr, Canton, GA 30115-4781 Ph: () -	Khushbu Modi, 276 Harmony Lake Dr, Canton, GA 30115-4781 Ph: (404) 488-5590

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Canton, GA

Morgan Maeger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1032 Forest Creek Dr, Canton, GA 30115 Phone: 770-367-3955
Brent H. Suddeth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124
Carla D Porche, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124
James Michael Rutherford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508
Dino Kattato, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 130 East Main Street, Suite 200, Canton, GA 30114 Phone: 808-408-0200
Marni Elizabeth Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508

Khushbu Modi, - Medicare Certified Registered Nurse Anesthetist (crna) in Canton, GA