Sagar M Modh, - Medicare Nurse Practitioner in Somerset, NJ

Sagar M Modh, is a medicare enrolled "Nurse Practitioner - Family" in Somerset, New Jersey. His current practice location is 15 Hopkinson Ln, Somerset, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 491-7312.

Sagar M Modh is licensed to practice in New Jersey (license number 26NJ15204200) 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 1295559102.

Contact Information

Sagar M Modh,
15 Hopkinson Ln,
Somerset, NJ 08873-7460
(732) 491-7312
Not Available

Map and Direction




Provider's Profile

Full NameSagar M Modh
GenderMale
SpecialityNurse Practitioner - Family
Location15 Hopkinson Ln, Somerset, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295559102
  • Provider Enumeration Date: 11/08/2024
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951824770
  • Enrollment ID: I20250402000245

Medical Identifiers

Medical identifiers for Sagar M Modh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295559102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ15204200 (New Jersey)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. Sagar M Modh allows following entities to bill medicare on his behalf.
Entity NameBastidas Plastic Surgery, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053724674
PECOS PAC ID: 9234357328
Enrollment ID: O20231028000389
Entity NamePromed Preferred Nj, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578327722
PECOS PAC ID: 0547701070
Enrollment ID: O20240924001162

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. Sagar M Modh 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
Sagar M Modh,
15 Hopkinson Ln,
Somerset, NJ 08873-7460

Ph: (732) 491-7312
Sagar M Modh,
15 Hopkinson Ln,
Somerset, NJ 08873-7460

Ph: (732) 491-7312

Reviews and Comments


Nurse Practitioner Nurses in Somerset, NJ

Pooja M Modh, MSN,FNP-C,BSN,RN,CEN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15 Hopkinson Ln, Somerset, NJ 08873
Phone: 732-491-7304    
Mrs. Philomena Ifeyinwa Chinemelu, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 26 Domino Rd, Somerset, NJ 08873
Phone: 732-764-0674    Fax: 732-764-0482
Geraldine Contreras,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14 Rue Cezanne, Somerset, NJ 08873
Phone: 732-485-7365    
Michelle Ashley Santoro, DNP, ANP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 51 Veronica Ave, Somerset, NJ 08873
Phone: 732-846-7000    Fax: 732-846-7001
Mrs. Priya Mary Daniel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 Veronica Ave Ste 102, Somerset, NJ 08873
Phone: 732-246-1311    Fax: 833-914-0459
Ms. Rachel Carroll, APN, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 Veronica Ave, Suite 201, Somerset, NJ 08873
Phone: 732-246-4882    Fax: 732-249-5633
Catherine Nwanonyiri,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 S Grosser Pl, Somerset, NJ 08873
Phone: 732-266-1713    

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.