Lucy Elizabeth Modahl, MD, PHD - Medicare Diagnostic Radiology in Coeur D Alene, ID

Lucy Elizabeth Modahl, MD, PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Coeur D Alene, Idaho. She went to University Of Southern California Keck School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice New York University, New York University and her current practice location is 601 Front Avenue, Suite #502, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 415-0524.

Lucy Elizabeth Modahl is licensed to practice in Idaho (license number M9541) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902868730.

Contact Information

Lucy Elizabeth Modahl, MD, PHD
601 Front Avenue, Suite #502,
Coeur D Alene, ID 83814
(208) 415-0524
(208) 763-3644



Physician's Profile

Full NameLucy Elizabeth Modahl
GenderFemale
SpecialityDiagnostic Radiology
Experience23 Years
Location601 Front Avenue, Coeur D Alene, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lucy Elizabeth Modahl attended and graduated from University Of Southern California Keck School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1902868730
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 05/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0648379412
  • Enrollment ID: I20181213002961

Medical Identifiers

Medical identifiers for Lucy Elizabeth Modahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902868730NPI-NPPES
101968783MedicaidPA
1019687830001OtherPAMEDICAL ASSISTANCE PA
50017558OtherKYPASSPORT
000000548186OtherKYANTHEM
1019687930001MedicaidPA
P00403958OtherVAMEDICARE RAILROAD
3425955000OtherKYPASSPORT ADVANTAGE
1902868730MedicaidVA
3810010476OtherVAMEDICAID WV
2950085OtherPAMEDICAL ASSISTANCE NY
7100025960MedicaidKY
91725OtherKYSIHO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M9541 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York University Langone Medical CenterNew york, NYHospital
Long Island Community HospitalPatchogue, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224431
New York University13552324224431

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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. Lucy Elizabeth Modahl allows following entities to bill medicare on her behalf.
Entity NameRadiology & Imaging Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790731008
PECOS PAC ID: 9234110479
Enrollment ID: O20060418000566

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Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20220216001536

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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. Lucy Elizabeth Modahl 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
Lucy Elizabeth Modahl, MD, PHD
601 Front Avenue, Suite #502,
Coeur D Alene, ID 83814

Ph: (208) 415-0524
Lucy Elizabeth Modahl, MD, PHD
601 Front Avenue, Suite #502,
Coeur D Alene, ID 83814

Ph: (208) 415-0524

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Radiology Doctors in Coeur D Alene, ID

Brian J Mcnamee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814
Phone: 208-666-3200    Fax: 208-666-3217
Dr. Michael Gerardo Melendez, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815
Phone: 208-610-0041    Fax: 208-777-1313
Lauren Gayle Deur, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814
Phone: 208-292-2263    Fax: 208-292-3130
Dr. George F. Knight, M. D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814
Phone: 208-415-0524    Fax: 208-763-3644
Jeffrey Wayne Grossman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815
Phone: 208-570-3342    
Dr. Bryan Douglas Berkey, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone: 208-625-3000    Fax: 208-625-6301
Albert J Martinez, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814
Phone: 208-666-3200    Fax: 208-666-3217

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