Mrs Yurata Gerwel Modzelewski, MD in Boonton Twp, NJ - Medicare Pediatrics

Mrs Yurata Gerwel Modzelewski, MD is a medicare enrolled "Pediatrics" physician in Boonton Twp, New Jersey. Her current practice location is 105 Powerville Road, Boonton Twp, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 299-2903.

Mrs Yurata Gerwel Modzelewski is licensed to practice in New Jersey (license number 25MA03879000) 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 1275796286.

Contact Information

	Mrs Yurata Gerwel Modzelewski, MD
	105 Powerville Road, Boonton Twp, NJ 07005
	(973) 299-2903
	(973) 299-2903

Physician's Profile

Full Name	Mrs Yurata Gerwel Modzelewski
Gender	Female
Speciality	Pediatrics
Location	105 Powerville Road, Boonton Twp, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275796286
Provider Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008

Medicare PECOS Information:

PECOS PAC ID: 2860705365
Enrollment ID: I20150713001741

Medical Identifiers

Medical identifiers for Mrs Yurata Gerwel Modzelewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275796286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA03879000 (New Jersey)	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. Mrs Yurata Gerwel 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
Mrs Yurata Gerwel Modzelewski, MD 105 Powerville Road, Boonton Twp, NJ 07005 Ph: (973) 299-2903	Mrs Yurata Gerwel Modzelewski, MD 105 Powerville Road, Boonton Twp, NJ 07005 Ph: (973) 299-2903

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Mrs Yurata Gerwel Modzelewski, MD - Medicare Pediatrics in Boonton Twp, NJ