Megan Modenos, DO

INTERNAL MEDICINE

1162 Montgomery Dr

Suite 200

Santa Rosa, CA 954054802

(707) 890-4100

**NPI:** 1821585993

**Med School:** OTHER

**Experience:** 7 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (1)

PROVIDENCE MEDICAL FOUNDATION

1162 Montgomery Dr, Suite 200
Santa Rosa, CA 954054802

Phone: (707) 890-4100

**Group ID:** 8921993205 | **Group Size:** 1329 members

PETALUMA VALLEY HOSPITAL Type: Hospital
400 N MCDOWELL BLVD
Phone: (707) 778-1111
Medicare CCN: 050136 View Profile

PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL Type: Hospital
1165 MONTGOMERY DR
Phone: (707) 525-5300
Medicare CCN: 050174 View Profile

HEALDSBURG HOSPITAL Type: Hospital
1375 UNIVERSITY AVENUE
Phone: (707) 431-6500
Medicare CCN: 051321 View Profile

Home health agency Type: Home health agency
Medicare CCN: 053129 View Profile

Home health agency Type: Home health agency
Medicare CCN: 057517 View Profile

Home health agency Type: Home health agency
Medicare CCN: 058189 View Profile

Home health agency Type: Home health agency
Medicare CCN: 059251 View Profile

Home health agency Type: Home health agency
Medicare CCN: 557433 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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