Modera Clinic Pllc - Medicare Primary Care in Little Elm, TX

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Modera Clinic Pllc is a medicare enrolled primary clinic (Family Medicine) in Little Elm, Texas. The current practice location for Modera Clinic Pllc is 2700 E Eldorado Pkwy Ste 104b, Little Elm, Texas. For appointments, you can reach them via phone at (972) 987-0458. The mailing address for Modera Clinic Pllc is 2700 E Eldorado Pkwy Ste 104b, Little Elm, Texas and phone number is (972) 987-0458.

Modera Clinic Pllc is licensed to practice in Texas (license number Q7559). The clinic also participates in the medicare program and its NPI number is 1962957639. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 987-0458.

Contact Information

Modera Clinic Pllc
2700 E Eldorado Pkwy Ste 104b
Little Elm
TX 75068-5999
(972) 987-0458
(877) 459-3573

Map and Direction


Primary Care Clinic Profile

Full NameModera Clinic Pllc
SpecialityFamily Medicine
Location2700 E Eldorado Pkwy Ste 104b, Little Elm, Texas
Authorized Official Name and PositionTrevor Kyle Huber (OWNER)
Authorized Official Contact9729870458
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Modera Clinic Pllc
2700 E Eldorado Pkwy Ste 104b
Little Elm
TX 75068-5999

Ph: (972) 987-0458		Modera Clinic Pllc
2700 E Eldorado Pkwy Ste 104b
Little Elm
TX 75068-5999

Ph: (972) 987-0458

NPI Details:

NPI Number1962957639
Provider Enumeration Date08/23/2016
Last Update Date03/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6800161506
Medicare Enrollment IDO20171005002372

Medical Identifiers

Medical identifiers for Modera Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962957639NPI-NPPES
1649682857OtherNPI
1174938831OtherNPI
B0226719OtherDPS
Q7559OtherTXLICENSE
Q9244OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine Q7559 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Modera Clinic Pllc acts as a billing entity for following providers:
Provider NameKimberly Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821119116
PECOS PAC ID: 0244283091
Enrollment ID: I20050222000400
Provider NameTrevor K Huber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649682857
PECOS PAC ID: 2264723618
Enrollment ID: I20160615002044
Provider NameLakisha Evette Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720643554
PECOS PAC ID: 1557698966
Enrollment ID: I20190808000094
Provider NameBlair Thwaites
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033649520
PECOS PAC ID: 3678842879
Enrollment ID: I20201109000875
Provider NameStefan R Huber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023633716
PECOS PAC ID: 8729472600
Enrollment ID: I20220221000332
Provider NameEric Nezerwa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811557358
PECOS PAC ID: 7810222874
Enrollment ID: I20220728001122
Provider NameEden Sirak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194346593
PECOS PAC ID: 3173946340
Enrollment ID: I20231016000234
Provider NameZulmericce Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396460317
PECOS PAC ID: 3072960962
Enrollment ID: I20231115000654

Reviews and Comments


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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.