Mark Dennis V Geronimo, MD in New London, CT

Mark Dennis V Geronimo, MD is a medicare enrolled "Family Medicine" physician in New London, Connecticut. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Middlesex Hospital, Physicians Of Cape Cod Hospital and his current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 442-0711.

Mark Dennis V Geronimo is licensed to practice in Connecticut (license number 52895) 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.

Contact Information

	Mark Dennis V Geronimo, MD
	365 Montauk Ave, New London, CT 06320-4700
	(860) 442-0711
	(413) 543-7962

Map and Direction

Physician's Profile

Full Name	Mark Dennis V Geronimo
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	365 Montauk Ave, New London, Connecticut
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 Dennis V Geronimo graduated from medical school in 2000

NPI Data:

NPI Number: 1215132949
Provider Enumeration Date: 06/21/2007
Last Update Date: 07/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4082738596
Enrollment ID: I20140627002024

Medical Identifiers

Medical identifiers for Mark Dennis V Geronimo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215132949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2010024512 (Missouri)	Secondary
208M00000X	Hospitalist	036128606 (Illinois)	Secondary
208M00000X	Hospitalist	52895 (Connecticut)	Secondary
207Q00000X	Family Medicine	52895 (Connecticut)	Primary
207Q00000X	Family Medicine	036128606 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cape Cod Healthcare	Hyannis, MA	Hospital
Middlesex Hospital	Middletown, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Middlesex Hospital	5092611731	204
Physicians Of Cape Cod Hospital	9638326671	265

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	Middlesex Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592

Entity Name	Windham Community Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231

Entity Name	The William W Backus Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739

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
Mark Dennis V Geronimo, MD 326 Washington St, Norwich, CT 06360-2740 Ph: (860) 442-0711	Mark Dennis V Geronimo, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Family Medicine Doctors in New London, CT

Amit Khanna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Patti Mugo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv Ste 103, New London, CT 06320 Phone: 860-443-3778
Dr. Lakshmi Basu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Bank St., New London, CT 06320 Phone: 860-447-2233 Fax: 860-447-2669
Dr. Fung (adam) Yeung, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Wilton Craig Calderon, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-3366
Adam Seidner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Montauk Ave, New London, CT 06320 Phone: 860-344-6300 Fax: 860-344-9249
Dr. Margret Rydell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, Suite 103, New London, CT 06320 Phone: 860-443-3788 Fax: 860-443-8820

Mark Dennis V Geronimo, MD - Medicare Family Practice in New London, CT