Dr Craig Steven Modzelewski, DMD in Allendale, SC - Medicare Dentist Provider

Dr Craig Steven Modzelewski, DMD is a medicare enrolled "Dentist - General Practice" provider in Allendale, South Carolina. His current practice location is 522 Main St N, Allendale, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 584-2105.

Dr Craig Steven Modzelewski is licensed to practice in South Carolina (license number 3892) 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 1033218607.

Contact Information

	Dr Craig Steven Modzelewski, DMD
	522 Main St N, Allendale, SC 29810-3720
	(803) 584-2105
	(803) 584-5757

Healthcare Provider's Profile

Full Name	Dr Craig Steven Modzelewski
Gender	Male
Speciality	Dentist - General Practice
Location	522 Main St N, Allendale, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033218607
Provider Enumeration Date: 09/21/2006
Last Update Date: 01/02/2009

Medicare PECOS Information:

PECOS PAC ID: 4486959541
Enrollment ID: I20160226001530

Medical Identifiers

Medical identifiers for Dr Craig Steven Modzelewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033218607	NPI	-	NPPES
ZX3892	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3892 (South Carolina)	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. Dr Craig Steven Modzelewski 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 Address	Practice Location Address
Dr Craig Steven Modzelewski, DMD 522 Main St N, Allendale, SC 29810-3720 Ph: (803) 584-2105	Dr Craig Steven Modzelewski, DMD 522 Main St N, Allendale, SC 29810-3720 Ph: (803) 584-2105

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Dr Craig Steven Modzelewski, DMD - Medicare Dentist in Allendale, SC