Mrinalini Modak, MD - Medicare Internal Medicine in Oklahoma City, OK

Mrinalini Modak, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. Her current practice location is 800 Stanton L Young Blvd # 8425, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 271-6173.

Mrinalini Modak is licensed to practice in Oklahoma (license number 38134) 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 1790148633.

Contact Information

Mrinalini Modak, MD
800 Stanton L Young Blvd # 8425,
Oklahoma City, OK 73104-5018
(405) 271-6173
Not Available



Physician's Profile

Full NameMrinalini Modak
GenderFemale
SpecialityInternal Medicine - Pulmonary Disease
Location800 Stanton L Young Blvd # 8425, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790148633
  • Provider Enumeration Date: 03/29/2016
  • Last Update Date: 06/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880988138
  • Enrollment ID: I20190717002118

Medical Identifiers

Medical identifiers for Mrinalini Modak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790148633NPI-NPPES
62568OtherCTCT MEDICAL LICENSE
38134OtherOKOK MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 62568 (Connecticut)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 38134 (Oklahoma)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. Mrinalini Modak allows following entities to bill medicare on her behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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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. Mrinalini Modak 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
Mrinalini Modak, MD
800 Stanton L Young Blvd # 8425,
Oklahoma City, OK 73104-5018

Ph: (405) 271-6173
Mrinalini Modak, MD
800 Stanton L Young Blvd # 8425,
Oklahoma City, OK 73104-5018

Ph: (405) 271-6173

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Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5963    
Patrick Bronson Reeves, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112
Phone: 405-942-5442    Fax: 405-942-6448
Dr. Jake Lee Evans, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104
Phone: 405-271-5963    
Metri Haddaden, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104
Phone: 405-271-6173    Fax: 410-554-2184
Divya Sharma Divyadarshini, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5963    
Dr. Philip Barton Miner, Jr., M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104
Phone: 405-271-4644    Fax: 405-271-3296
Gary Lee Worcester, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112
Phone: 405-947-3341    

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