Dr James Anthony Modugno, DPM - Medicare Podiatrist in Monroe Township, NJ

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Dr James Anthony Modugno, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Monroe Township, New Jersey. His current practice location is 9 Samantha Dr, Monroe Township, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 319-6124.

Dr James Anthony Modugno is licensed to practice in New Jersey (license number 25MD00316800) 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 1720423379.

Contact Information

Dr James Anthony Modugno, DPM
9 Samantha Dr,
Monroe Township, NJ 08831-4044
(732) 319-6124
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr James Anthony Modugno
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location9 Samantha Dr, Monroe Township, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720423379
  • Provider Enumeration Date: 05/08/2013
  • Last Update Date: 05/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3375777816
  • Enrollment ID: I20131016000528

Medical Identifiers

Medical identifiers for Dr James Anthony Modugno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720423379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 25MD00316800 (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. Dr James Anthony Modugno allows following entities to bill medicare on his behalf.
Provider NameEdward Montoya
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1396983037
PECOS PAC ID: 6204989080
Enrollment ID: I20090727000248
Provider NameTri County Foot & Ankle Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962683235
PECOS PAC ID: 4880774967
Enrollment ID: O20080102000039

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. Dr James Anthony Modugno 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
Dr James Anthony Modugno, DPM
9 Samantha Dr,
Monroe Township, NJ 08831-4044

Ph: (732) 319-6124		Dr James Anthony Modugno, DPM
9 Samantha Dr,
Monroe Township, NJ 08831-4044

Ph: (732) 319-6124

Reviews and Comments


Podiatrist in Monroe Township, NJ

Dr. Craig Alan Shapero, DPM
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Dr. Genine Marie Befumo, DPM
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Phone: 609-409-8381    
Dr. Andrew L Schmierer, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 18 Centre Dr, Suite 203, Monroe Township, NJ 08831
Phone: 609-860-9111    Fax: 609-860-9311

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.