Dr Mark William Governo, DMD - Medicare Dentist in Lebanon, NH

Dr Mark William Governo, DMD is a medicare enrolled "Dentist" provider in Lebanon, New Hampshire. His current practice location is 2 Campbell Street, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 448-4200.

Dr Mark William Governo is licensed to practice in New Hampshire (license number 3123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649359746.

Contact Information

Dr Mark William Governo, DMD
2 Campbell Street,
Lebanon, NH 03766
(603) 448-4200
(603) 448-6424

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark William Governo
GenderMale
SpecialityDentist
Location2 Campbell Street, Lebanon, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649359746
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 08/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365756905
  • Enrollment ID: I20150727002648

Medical Identifiers

Medical identifiers for Dr Mark William Governo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649359746NPI-NPPES
30300297MedicaidNH
807907OtherUNITED CONDORDIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 3123 (New Hampshire)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark William Governo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark William Governo, DMD
Po Box 390,
Lebanon, NH 03766

Ph: (603) 448-4200
Dr Mark William Governo, DMD
2 Campbell Street,
Lebanon, NH 03766

Ph: (603) 448-4200

Reviews and Comments


Dentist in Lebanon, NH

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Medicare: Not Enrolled in Medicare
Practice Location: 367 Route 120 Bldg D, Lebanon, NH 03766
Phone: 603-643-4362    Fax: 603-643-4340
Dr. Tushar Udeshi, D.D.S.
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Phone: 603-643-4142    Fax: 603-643-1740
Dr. Gary James Hammond, DDS
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Practice Location: 367 Route 120 Unit E1, Lebanon, NH 03766
Phone: 603-643-1700    Fax: 603-643-1702

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.