LUCY E. MODAHL MD, PHD – NPI #1902868730
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
LUCY MODAHL is a radiologist located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1902868730 to LUCY MODAHL on April 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 17 years ago on May 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUCY MODAHL below.
NPI Profile for
LUCY E. MODAHL
(more than 20 years ago)
SUITE #502
COEUR D'ALENE, ID 83814 Phone: (208) 415-0524 Fax: (208) 763-3644
Identifiers for LUCY MODAHL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ANTHEM | KY | 000000548186 |
| OTHER | MEDICAID WV | VA | 3810010476 |
| OTHER | MEDICAL ASSISTANCE NY | PA | 2950085 |
| OTHER | MEDICAL ASSISTANCE PA | PA | 1019687830001 |
| OTHER | MEDICARE RAILROAD | VA | P00403958 |
| OTHER | PASSPORT | KY | 50017558 |
| OTHER | PASSPORT ADVANTAGE | KY | 3425955000 |
| OTHER | SIHO | KY | 91725 |
| MEDICAID | KY | 7100025960 | |
| MEDICAID | PA | 1019687930001 | |
| MEDICAID | PA | 101968783 | |
| MEDICAID | VA | 1902868730 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
ID | M9541 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
LUCY MODAHL is affiliated with the following medical group(s):
- HOSPITAL
- NYU LANGONE HOSPITALS550 FIRST AVENUE
NEW YORK, NY 10016
- NYU LANGONE HOSPITALS550 FIRST AVENUE
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See the complete CMS Data Dissemination Notice here.