Mark David Deponte, MD is a medicare enrolled "Family Medicine" physician in Lisbon, Connecticut. His current practice location is
2 Lee Rd, Lisbon, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 376-4451.
Mark David Deponte is licensed to practice in Connecticut (license number 039945) 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 1265434583.
Physician's Profile
Full Name | Mark David Deponte |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2 Lee Rd, Lisbon, Connecticut |
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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. |
Medical Education and Training:
- Mark David Deponte attended and graduated from in
NPI Data:
- NPI Number: 1265434583
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 11/19/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark David Deponte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265434583 | NPI | - | NPPES |
010039945CT01 | Other | | BCBS |
001399452 | Medicaid | CT | |
020323907 | Other | | CIGNA |
2V1508 | Other | | HEALTHNET |
020323907 | Other | | UNHC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 039945 (Connecticut) | 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. Mark David Deponte 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 |
Mark David Deponte, MD 2 Lee Rd, Lisbon, CT 06351 Ph: (860) 376-4451 | Mark David Deponte, MD 2 Lee Rd, Lisbon, CT 06351 Ph: (860) 376-4451 |
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