Sara K Modert (NPI# 1700866258, PAC ID# 6406922244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700866258 |
| PAC ID by PECOS | 6406922244 |
| Professional Enrollment ID | I20081003000114 |
| Full Name | Sara K Modert |
| Organization Legal Name | MODERT FAMILY PRACTICE LTD |
| Address |
1 Doctors Park Rd Suite C Mount Vernon IL 62864-6251 |
| Phone Number | 6182441234 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870669617 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140294 | CROSSROADS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Doctors Park Rd, Suite C, Mount Vernon, IL 62864-6251 | 6182441234 | MODERT FAMILY PRACTICE LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 84% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | MODERT FAMILY PRACTICE LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher W Modert | Family Medicine | Modert Family Practice Ltd | 1 Doctors Park Rd, Suite C, Mount Vernon, IL 62864-6251 |
| Street Address |
1 DOCTORS PARK RD SUITE C |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-6251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher W Modert | Family Medicine | Modert Family Practice Ltd | 1 Doctors Park Rd, Suite C, Mount Vernon, IL 62864-6251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sara K Modert.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.