Guillermo Modad, MD - Medicare Internal Medicine in Moscow, ID

Guillermo Modad, MD is a medicare enrolled "Hospitalist" physician in Moscow, Idaho. He went to Loma Linda University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Public Hospital District 1-a Of Whitman County and his current practice location is 700 S Main St, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 882-4511.

Guillermo Modad is licensed to practice in Idaho (license number M-12525) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588982888.

Contact Information

Guillermo Modad, MD
700 S Main St,
Moscow, ID 83843-3046
(208) 882-4511
(208) 883-6580



Physician's Profile

Full NameGuillermo Modad
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location700 S Main St, Moscow, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Guillermo Modad attended and graduated from Loma Linda University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1588982888
  • Provider Enumeration Date: 05/11/2010
  • Last Update Date: 03/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648499327
  • Enrollment ID: I20191227001272

Medical Identifiers

Medical identifiers for Guillermo Modad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588982888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M-12525 (Idaho)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist M-12525 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pullman Regional HospitalPullman, WAHospital
Gritman Medical CenterMoscow, IDHospital
Lincoln HospitalDavenport, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Public Hospital District 1-a Of Whitman County832593498750

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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. Guillermo Modad allows following entities to bill medicare on his behalf.
Entity NamePublic Hospital District #1-a Of Whitman County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366446767
PECOS PAC ID: 8325934987
Enrollment ID: O20040223000506

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Entity NamePublic Hospital District No 3 Of Whitman County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090

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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. Guillermo Modad 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
Guillermo Modad, MD
700 S Main St,
Moscow, ID 83843-3046

Ph: (208) 883-6359
Guillermo Modad, MD
700 S Main St,
Moscow, ID 83843-3046

Ph: (208) 882-4511

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Hospitalist Doctors in Moscow, ID


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