Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mara C Modzeski, MD

Individual provider Otolaryngology Physician · NPI 1053758094

Mara C Modzeski, MD is an Otolaryngology in Port Matilda, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2013, 13 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Pennsylvania.

Years since qualifying
13
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MN, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

132 Abigail Ln
Port Matilda, PA 16870-7153
Phone: (814) 272-5011
Fax: (814) 272-6531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD464929 (PA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 58125 (MN)

Record details

NPI number1053758094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2013
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Port Matilda