Modert Family Practice, Ltd. - Medicare Primary Care in Mount Vernon, IL

Modert Family Practice, Ltd. is a medicare enrolled primary clinic (Family Medicine) in Mount Vernon, Illinois. The current practice location for Modert Family Practice, Ltd. is 1 Doctors Park Rd Ste C, Mount Vernon, Illinois. For appointments, you can reach them via phone at (618) 244-1234. The mailing address for Modert Family Practice, Ltd. is Po Box 802, Mount Vernon, Illinois and phone number is (618) 244-1234.

Modert Family Practice, Ltd. is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1255311700. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 244-1234.

Contact Information

Modert Family Practice, Ltd.
1 Doctors Park Rd Ste C
Mount Vernon
IL 62864-6251
(618) 244-1234
Not Available

Primary Care Clinic Profile

Full NameModert Family Practice, Ltd.
SpecialityFamily Medicine
Location1 Doctors Park Rd Ste C, Mount Vernon, Illinois
Authorized Official Name and PositionSara K. Modert (PRESIDENT)
Authorized Official Contact6182441234
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Modert Family Practice, Ltd.
Po Box 802
Mount Vernon
IL 62864-0017

Ph: (618) 244-1234
Modert Family Practice, Ltd.
1 Doctors Park Rd Ste C
Mount Vernon
IL 62864-6251

Ph: (618) 244-1234

NPI Details:

NPI Number1255311700
Provider Enumeration Date01/19/2006
Last Update Date11/04/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3870669617
Medicare Enrollment IDO20080903000018

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Medical Identifiers

Medical identifiers for Modert Family Practice, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255311700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Modert Family Practice, Ltd. acts as a billing entity for following providers:
Provider NameChristopher W Modert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477527604
PECOS PAC ID: 3678588175
Enrollment ID: I20081003000091

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Provider NameSara K Modert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700866258
PECOS PAC ID: 6406922244
Enrollment ID: I20081003000114

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Family Medicine in Mount Vernon, IL

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