Mrs Jeniece Geronimo, PMHNP - Medicare Nurse Practitioner in New Haven, CT

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Mrs Jeniece Geronimo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New Haven, Connecticut. Her current practice location is 226 Dixwell Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 503-3000.

Mrs Jeniece Geronimo is licensed to practice in Connecticut (license number 11208) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053031310.

Contact Information

Mrs Jeniece Geronimo, PMHNP
226 Dixwell Ave,
New Haven, CT 06511-3456
(203) 503-3000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jeniece Geronimo
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location226 Dixwell Ave, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053031310
  • Provider Enumeration Date: 08/29/2022
  • Last Update Date: 12/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971972787
  • Enrollment ID: I20221216000789

Medical Identifiers

Medical identifiers for Mrs Jeniece Geronimo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053031310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 698659 (New York)Secondary
163W00000XRegistered Nurse 129255 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 404431 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11208 (Connecticut)Primary

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. Mrs Jeniece Geronimo allows following entities to bill medicare on her behalf.
Entity NameCornell Scott Hill Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902921380
PECOS PAC ID: 3072418359
Enrollment ID: O20031201000145

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. Mrs Jeniece 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 AddressPractice Location Address
Mrs Jeniece Geronimo, PMHNP
55 Evelyn Pl Apt 1e,
Bronx, NY 10468-6961

Ph: () -		Mrs Jeniece Geronimo, PMHNP
226 Dixwell Ave,
New Haven, CT 06511-3456

Ph: (203) 503-3000

Reviews and Comments


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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).

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.