Mark Dennis V Geronimo, MD is a medicare enrolled "Family Medicine" physician in Pascoag, Rhode Island. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice State Of Rhode Island and his current practice location is
2090 Wallum Lake Rd, Pascoag, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 567-5400.
Mark Dennis V Geronimo is licensed to practice in Rhode Island (license number MD14813) 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 1215132949.
Physician's Profile
| Full Name | Mark Dennis V Geronimo |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 2090 Wallum Lake Rd, Pascoag, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Dennis V Geronimo graduated from medical school in 2000
NPI Data:
- NPI Number: 1215132949
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 05/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082738596
- Enrollment ID: I20141114001672
Medical Identifiers
Medical identifiers for Mark Dennis V Geronimo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215132949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2010024512 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 036128606 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | MD14813 (Rhode Island) | Primary |
| 207Q00000X | Family Medicine | 52895 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 036128606 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 52895 (Connecticut) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of Rhode Island | 8123929742 | 9 |
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. Mark Dennis V Geronimo allows following entities to bill medicare on his behalf.
| Entity Name | Atwood Medical Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558386227
PECOS PAC ID: 0941106652
Enrollment ID: O20070910000495 |
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| Entity Name | State Of Rhode Island |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1922197789
PECOS PAC ID: 8123929742
Enrollment ID: O20230315002231 |
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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. Mark Dennis V Geronimo 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 Address | Practice Location Address |
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Mark Dennis V Geronimo, MD
2090 Wallum Lake Rd,
Pascoag, RI 02859-1813
Ph: (401) 567-5400 | Mark Dennis V Geronimo, MD
2090 Wallum Lake Rd,
Pascoag, RI 02859-1813
Ph: (401) 567-5400 |
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