Marsha E Modery, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD039611E Issued in PA

Practice address

1451 Hillside Dr
Newton Hall
Clarks Summit, PA 18411-9504

Phone

(570) 587-7254

Fax

(570) 587-7270

NPI assigned

Oct 18, 2006

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Department of Human ServicesGroup PAC ID 0547168064, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Department of Human Services

  dba Clarks Summit State Hospital

  • Psychiatric Hospital
  • Clarks Summit, PA
  • NPI 1447233424
  Medicare reassignment Care Compare group NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1700967627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HILLSIDE DR",
            "address_2": "NEWTON HALL",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119504",
            "telephone_number": "570-587-7254",
            "fax_number": "570-587-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HILLSIDE DR",
            "address_2": "NEWTON HALL",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119504",
            "telephone_number": "570-587-7254",
            "fax_number": "570-587-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODERY",
        "first_name": "MARSHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039611E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003085180065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calandria Miller, DMD
• Kenneth Gordon Miller, DDS
• Kandy Mills, PT
• Jillian Denise Mishko
• Jennifer Jill Mishkula-Morgan, PHARM D
• Ashley Anne Monetta, SPEECH THERAPIST
• Jeffrey Michael Montgomery, D.O.
• Michael F Moore, M.D.
• Keith Clint Morris, MA
• Jeffrey W Muir, DPM

• Internal Medicine Physician in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.