Nadya M Modlin, PA in Kenosha, WI - Medicare Physician Assistant

Nadya M Modlin, PA is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. Her current practice location is 10400 75th St, Emergency Department, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-7000.

Nadya M Modlin is licensed to practice in Wisconsin (license number 2672) 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 1063721264.

Contact Information

	Nadya M Modlin, PA
	10400 75th St, Emergency Department, Kenosha, WI 53142-7884
	(262) 948-7000
	Not Available

Provider's Profile

Full Name	Nadya M Modlin
Gender	Female
Speciality	Physician Assistant
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063721264
Provider Enumeration Date: 10/05/2010
Last Update Date: 10/30/2010

Medicare PECOS Information:

PECOS PAC ID: 2860687415
Enrollment ID: I20110407000786

Medical Identifiers

Medical identifiers for Nadya M Modlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063721264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.003935 (Illinois)	Secondary
363A00000X	Physician Assistant	2672 (Wisconsin)	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. Nadya M Modlin 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
Nadya M Modlin, PA 1 Transam Plaza Dr, Suite 360, Oakbrook Terrace, IL 60181-4822 Ph: (630) 785-9100	Nadya M Modlin, PA 10400 75th St, Emergency Department, Kenosha, WI 53142-7884 Ph: (262) 948-7000

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Physician Assistant Nurses in Kenosha, WI

David B Kite, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841
Miss Sarah Rens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591
Ms. Amber D Devine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Jeffrey Allen Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6770
Michelle R Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 505, Kenosha, WI 53143 Phone: 262-656-3525 Fax: 262-656-3560

Nadya M Modlin, PA - Medicare Physician Assistant in Kenosha, WI