Mr Modell Mcentire, is a
Psychologist - School based in Weaverville, California. Mr Modell Mcentire is licensed to practice in California (license number 230089422) and his current practice location is
201 Memorial Drive, Weaverville, California. He can be reached at his office (for appointments etc.) via phone at
(530) 623-2861.
NPI number for Mr Modell Mcentire is 1790630440 and his current mailing address is 201 Memorial Drive, Weaverville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790630440.
Healthcare Provider's Profile
| Full Name | Mr Modell Mcentire |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 201 Memorial Drive, Weaverville, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790630440
- Provider Enumeration Date: 02/27/2026
- Last Update Date: 02/27/2026
Medical Identifiers
Medical identifiers for Mr Modell Mcentire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790630440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 230089422 (California) | Primary |
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. Mr Modell Mcentire is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Modell Mcentire, 201 Memorial Drive, Weaverville, CA 96093 Ph: (530) 623-2861 | Mr Modell Mcentire, 201 Memorial Drive, Weaverville, CA 96093 Ph: (530) 623-2861 |
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