Dr Geoffry De Gennaro Jr, MD - Medicare Diagnostic Radiology in Boise, ID

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Dr Geoffry De Gennaro Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He went to Medical College Of Wisconsin and graduated in 2014 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Maryland Imaging Network Pc, Boise Radiology Group Pllc and his current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2094.

Dr Geoffry De Gennaro Jr is licensed to practice in Idaho (license number M-15099) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336554740.

Contact Information

Dr Geoffry De Gennaro Jr, MD
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2094
Not Available

Map and Direction




Physician's Profile

Full NameDr Geoffry De Gennaro Jr
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Geoffry De Gennaro Jr attended and graduated from Medical College Of Wisconsin in 2014
  NPI Data:
  • NPI Number: 1336554740
  • Provider Enumeration Date: 06/24/2014
  • Last Update Date: 07/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496971715
  • Enrollment ID: I20200609002283

Medical Identifiers

Medical identifiers for Dr Geoffry De Gennaro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336554740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301105483 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology M-15099 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Imaging Network Pc610325930459
Boise Radiology Group Pllc963815325755

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Geoffry De Gennaro Jr allows following entities to bill medicare on his behalf.
Entity NameBoise Radiology Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740216175
PECOS PAC ID: 9638153257
Enrollment ID: O20040614000277
Entity NameWeiser Valley Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364030
PECOS PAC ID: 5294704276
Enrollment ID: O20050124000126
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304
Entity NameMaryland Imaging Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487296471
PECOS PAC ID: 6103259304
Enrollment ID: O20231228000865
Entity NameConnecticut Imaging Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740315761
PECOS PAC ID: 4183649098
Enrollment ID: O20250331002777
Entity NameFarmington Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275987802
PECOS PAC ID: 7719265651
Enrollment ID: O20250505002536
Entity NameTic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457702813
PECOS PAC ID: 4880972819
Enrollment ID: O20250603001370

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 Geoffry De Gennaro Jr 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 Geoffry De Gennaro Jr, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (616) 391-3245		Dr Geoffry De Gennaro Jr, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2094

Reviews and Comments


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Brian Lane Mcmahan, M.D.
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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).

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