Arvi Mallari Generoso, MD is a medicare enrolled "Internal Medicine" physician in Castl Rock, Washington. Her current practice location is
23 Cowlitz W St, Castl Rock, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 800-9480.
Arvi Mallari Generoso is licensed to practice in Washington (license number MD60441564) 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 1104104025.
Physician's Profile
Full Name | Arvi Mallari Generoso |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 23 Cowlitz W St, Castl Rock, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104104025
- Provider Enumeration Date: 07/26/2011
- Last Update Date: 09/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406089853
- Enrollment ID: I20140812000037
Medical Identifiers
Medical identifiers for Arvi Mallari Generoso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104104025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD60441564 (Washington) | 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. Arvi Mallari Generoso allows following entities to bill medicare on her behalf.
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
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Entity Name | Generoso Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932866134 PECOS PAC ID: 1456731496 Enrollment ID: O20220707002566 |
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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. Arvi Mallari Generoso 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 |
Arvi Mallari Generoso, MD Po Box 1163, Castle Rock, WA 98611-1163 Ph: (360) 800-9480 | Arvi Mallari Generoso, MD 23 Cowlitz W St, Castl Rock, WA 98611 Ph: (360) 800-9480 |
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