| Lyle Terrence Modlin, DPM | |
|
43 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3850 | |
| (410) 263-3100 | |
| (410) 263-7380 |
| Full Name | Lyle Terrence Modlin |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 44 Years |
| Location | 43 Old Solomons Island Rd, Annapolis, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851307045 | NPI | - | NPPES |
| 463068800 | Medicaid | MD | |
| 4081901 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00631 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Potomac Podiatry Pllc | 8527086834 | 9 |
| Provider Name | Potomac Podiatry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184731549 PECOS PAC ID: 8527086834 Enrollment ID: O20210426000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle Terrence Modlin, DPM 43 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3850 Ph: (410) 263-3100 | Lyle Terrence Modlin, DPM 43 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3850 Ph: (410) 263-3100 |
Dr. Tomika Coleman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 49 Old Solomons Island Rd Ste 104, Annapolis, MD 21401 Phone: 443-531-1197 | |
Wayne K Knoll, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 128 Lubrono Dr, Suite 102, Annapolis, MD 21401 Phone: 410-535-0620 Fax: 410-535-0802 | |
Lyle T. Modlin, Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 43 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401 Phone: 410-263-3100 Fax: 410-263-7380 | |
James M Mckee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 139 Old Solomons Island Road, Suite C, Annapolis, MD 21401 Phone: 410-224-4448 Fax: 443-949-9539 | |
Dr. Courtney S Palmer, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 168 West St, Annapolis, MD 21401 Phone: 410-573-1111 Fax: 410-573-1377 | |
Dr. Eric Scott Harmelin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2086 Generals Hwy, Suite 101, Annapolis, MD 21401 Phone: 410-266-7666 Fax: 410-266-7703 | |
Dr. John G. Deleonibus, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2086 Generals Hwy, Suite 101, Annapolis, MD 21401 Phone: 410-266-7666 Fax: 410-266-7703 |