Brooke Fulscher Modlin, LICSW - Medicare Clinical Social Worker in Lewisburg, WV

Brooke Fulscher Modlin, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lewisburg, West Virginia. Her current practice location is 1464 Jefferson St N, Lewisburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (303) 523-9052.

Brooke Fulscher Modlin is licensed to practice in West Virginia (license number DP00946241) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528748464.

Contact Information

Brooke Fulscher Modlin, LICSW
1464 Jefferson St N,
Lewisburg, WV 24901-1380
(303) 523-9052
Not Available



Healthcare Provider's Profile

Full NameBrooke Fulscher Modlin
GenderFemale
SpecialitySocial Worker - Clinical
Location1464 Jefferson St N, Lewisburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528748464
  • Provider Enumeration Date: 07/24/2023
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264886175
  • Enrollment ID: I20230926004467

Medical Identifiers

Medical identifiers for Brooke Fulscher Modlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528748464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical DP00946241 (West Virginia)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. Brooke Fulscher Modlin allows following entities to bill medicare on her behalf.
Entity NameWest Virginia School Of Osteopathic Medicine Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871539296
PECOS PAC ID: 0941113427
Enrollment ID: O20031111000104

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Entity NameMonroe County Health Center Board Of Trustees
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1992734487
PECOS PAC ID: 3173432671
Enrollment ID: O20040330001675

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Entity NameWest Virginia School Of Osteopathic Medicine Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013496991
PECOS PAC ID: 0941113427
Enrollment ID: O20210913003075

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Entity NameWest Virginia School Of Osteopathic Medicine Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093220303
PECOS PAC ID: 0941113427
Enrollment ID: O20210914002817

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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. Brooke Fulscher Modlin 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
Brooke Fulscher Modlin, LICSW
622 Jefferson St S,
Lewisburg, WV 24901-2016

Ph: (303) 523-9052
Brooke Fulscher Modlin, LICSW
1464 Jefferson St N,
Lewisburg, WV 24901-1380

Ph: (303) 523-9052

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› Verified 7 days ago


Social Worker in Lewisburg, WV

Ms. Tammy Lynn Showell, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 122 N Court St, Lewisburg, WV 24901
Phone: 304-667-6050    
Jamie L Crosier, MSW, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 403 Bell Dr, Lewisburg, WV 24901
Phone: 304-205-9327    
Eric C Ellison, LGSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 163 Cottage Dr, Lewisburg, WV 24901
Phone: 304-647-5577    
Stacey J Lambert, MSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 100 Church St, Lewisburg, WV 24901
Phone: 304-645-3319    Fax: 304-645-6532
Rachel Leah Levan, MSW,LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 203 S Jefferson St, Suite D, Lewisburg, WV 24901
Phone: 304-667-7410    
Susan E Vlajk, ACSW,LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 212 W Washington St, Lewisburg, WV 24901
Phone: 304-647-5826    

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